Provider Demographics
NPI:1508399049
Name:POUNDS, MORGAN M (NP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:POUNDS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 TEXAS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-5133
Mailing Address - Country:US
Mailing Address - Phone:903-792-1404
Mailing Address - Fax:903-792-2681
Practice Address - Street 1:1002 TEXAS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-5133
Practice Address - Country:US
Practice Address - Phone:903-792-1404
Practice Address - Fax:903-792-2681
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN721334364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health