Provider Demographics
NPI:1679249023
Name:R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LISTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPPC
Authorized Official - Phone:936-564-6002
Mailing Address - Street 1:PO BOX 1888
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75403-1888
Mailing Address - Country:US
Mailing Address - Phone:903-455-4051
Mailing Address - Fax:906-454-1716
Practice Address - Street 1:4750 PRESIDENT GEORGE BUSH TPKE
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4283
Practice Address - Country:US
Practice Address - Phone:903-455-4051
Practice Address - Fax:903-454-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty