Provider Demographics
NPI:1174282792
Name:CARAWAY, MORGAN MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:MARIE
Last Name:CARAWAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 RAVENSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-4617
Mailing Address - Country:US
Mailing Address - Phone:817-559-2908
Mailing Address - Fax:
Practice Address - Street 1:3801 E US HIGHWAY 377 STE 100
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7620
Practice Address - Country:US
Practice Address - Phone:817-573-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15058363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant