Provider Demographics
NPI:1013046804
Name:MORGAN, DEVON DUBLIN (RN BS CNOR CRNFA)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:DUBLIN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN BS CNOR CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 CAIN RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6224
Mailing Address - Country:US
Mailing Address - Phone:979-680-1111
Mailing Address - Fax:979-694-0417
Practice Address - Street 1:2906 CAIN RD
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6224
Practice Address - Country:US
Practice Address - Phone:979-680-1111
Practice Address - Fax:979-694-0417
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235717174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist