Provider Demographics
NPI:1497740799
Name:MORGAN, MARIA MONIQUE (CRNA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MONIQUE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3945
Mailing Address - Street 2:DEPT 336
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3945
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:6801 EMMETT F LOWRY EXPY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2500
Practice Address - Country:US
Practice Address - Phone:409-938-5361
Practice Address - Fax:409-938-5765
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX548591367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002982902Medicaid
TXP00144638OtherRAILROAD MEDICARE
TX84614UOtherBLUE CROSS BLUE SHIELD
TX046164OtherRECERTIFICATION AANA
TX84614UOtherBLUE CROSS BLUE SHIELD
TXP00144638OtherRAILROAD MEDICARE