Provider Demographics
NPI:1770510083
Name:MORTON, PAUL EMERY (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EMERY
Last Name:MORTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11703 HUEBNER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1211
Mailing Address - Country:US
Mailing Address - Phone:210-697-9500
Mailing Address - Fax:210-697-9509
Practice Address - Street 1:11703 HUEBNER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1211
Practice Address - Country:US
Practice Address - Phone:210-697-9500
Practice Address - Fax:210-697-9509
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2016-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL5839174400000X, 207VB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VB0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObesity Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168905101Medicaid
TX8B8354Medicare PIN
TX168905101Medicaid