Provider Demographics
NPI:1235755315
Name:THARP, MORGAN (LAT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:THARP
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:BURNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT
Mailing Address - Street 1:2805 HIGH POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2627
Mailing Address - Country:US
Mailing Address - Phone:918-402-8775
Mailing Address - Fax:
Practice Address - Street 1:4401 PARK SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-2016
Practice Address - Country:US
Practice Address - Phone:918-402-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7012207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine