Provider Demographics
NPI:1295813723
Name:MORGAN, ROBERT C (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6237111N00000X
NM1325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5598135OtherAETNA
4320035OtherCIGNA
TX88100JOtherBCBS OF TX
TX8K8724OtherBCBS
TX5598135OtherAETNA
TX88100JOtherBCBS OF TX
4320035OtherCIGNA
TXU46365Medicare UPIN