Provider Demographics
NPI:1407346661
Name:MORGAN, CHRISTINA CHARLENE (LVN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:CHARLENE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:CHARLENE
Other - Last Name:SHOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:18710 BRIDOON DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1123
Mailing Address - Country:US
Mailing Address - Phone:832-910-1212
Mailing Address - Fax:
Practice Address - Street 1:18710 BRIDOON DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1123
Practice Address - Country:US
Practice Address - Phone:832-918-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314402164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse