Provider Demographics
NPI:1760454003
Name:MORGAN, ADAM ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ALEXANDER
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 1:13737 NOEL RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-1374
Mailing Address - Country:US
Mailing Address - Phone:303-933-8270
Mailing Address - Fax:214-712-2002
Practice Address - Street 1:13737 NOEL RD STE 1600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-1374
Practice Address - Country:US
Practice Address - Phone:303-933-8270
Practice Address - Fax:214-712-2002
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00589452085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC2849OtherB/C B/S
MD383350000Medicaid
MDJ062OtherB/C B/S
MDKA80OtherB/C B/S
DEDD4343Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MD383350000Medicaid
DC2849OtherB/C B/S
MDCD4495Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MDCN2566Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MD435LD740Medicare ID - Type UnspecifiedLOCALITY/JURIS. CODE 02