Provider Demographics
NPI:1154511632
Name:VISION CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:VISION CHIROPRACTIC, P.A.
Other - Org Name:ROBERT C, MORGAN, D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-581-6624
Mailing Address - Street 1:136 S RESLER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4302
Mailing Address - Country:US
Mailing Address - Phone:915-581-6624
Mailing Address - Fax:915-833-1760
Practice Address - Street 1:136 S RESLER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4302
Practice Address - Country:US
Practice Address - Phone:915-581-6624
Practice Address - Fax:915-833-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00023KOtherBCBS, TX
TXTXB107660Medicare PIN