Provider Demographics
NPI:1346418779
Name:ROBERT L. MORROW, JR., MD, APMC
Entity Type:Organization
Organization Name:ROBERT L. MORROW, JR., MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:JR
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:337-233-5857
Mailing Address - Street 1:317 WOODBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-4449
Mailing Address - Country:US
Mailing Address - Phone:337-989-1184
Mailing Address - Fax:337-989-9549
Practice Address - Street 1:501 W SAINT MARY BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4600
Practice Address - Country:US
Practice Address - Phone:337-233-5857
Practice Address - Fax:337-233-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011208174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1330680Medicaid
LA54024OtherMEDICARE
LA1330680Medicaid