Provider Demographics
NPI:1447599923
Name:MORGAN, MONICA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-6455
Mailing Address - Fax:713-441-6463
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-6455
Practice Address - Fax:713-441-6463
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5428208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX321697003Medicaid
TX8FF352OtherBLUE CROSS BLUE SHIELD
TX8FT360OtherBLUE CROSS BLUE SHIELD
TX290358ZSWDMedicare PIN
TX8FF352OtherBLUE CROSS BLUE SHIELD