Provider Demographics
NPI:1215192067
Name:MORGAN, TESS ALYNN (RT(R)(M), RPA)
Entity Type:Individual
Prefix:
First Name:TESS
Middle Name:ALYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RT(R)(M), RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR STE 275
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2445
Mailing Address - Country:US
Mailing Address - Phone:713-461-3573
Mailing Address - Fax:
Practice Address - Street 1:902 FROSTWOOD DR STE 275
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2445
Practice Address - Country:US
Practice Address - Phone:713-461-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11952247100000X, 2471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography