Provider Demographics
NPI:1629692660
Name:MORIN, JOHN P (EMT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:MORIN
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21523 CEDAR COVE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5349
Mailing Address - Country:US
Mailing Address - Phone:832-492-3258
Mailing Address - Fax:
Practice Address - Street 1:35303 COOPER RD
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-9320
Practice Address - Country:US
Practice Address - Phone:832-492-3258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX748855146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic