Provider Demographics
NPI:1750488672
Name:MORGAN, PETER B (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:B
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 PINECROFT DR STE 350
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3183
Mailing Address - Country:US
Mailing Address - Phone:281-991-8346
Mailing Address - Fax:866-722-4293
Practice Address - Street 1:9303 PINECROFT DR
Practice Address - Street 2:SUITE 350
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3181
Practice Address - Country:US
Practice Address - Phone:281-292-0121
Practice Address - Fax:866-722-4293
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3122208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286492801Medicaid
TX138812616Medicaid
TX138812617Medicaid
TX283951601Medicaid
C19602Medicare UPIN
TX138812617Medicaid
TXTXB137928Medicare PIN
TXTXB112060Medicare PIN
TX286492801Medicaid