Provider Demographics
NPI:1679079834
Name:MORGAN AND DAVIS FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:MORGAN AND DAVIS FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:NPC
Authorized Official - Phone:713-449-0065
Mailing Address - Street 1:1450 W GRAND PKWY S STE G-137
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8286
Mailing Address - Country:US
Mailing Address - Phone:713-234-5837
Mailing Address - Fax:713-701-7295
Practice Address - Street 1:121 PEACH AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4241
Practice Address - Country:US
Practice Address - Phone:713-234-5837
Practice Address - Fax:713-701-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty