Provider Demographics
NPI:1013955996
Name:MORGAN, SHERRI LYNN (MD)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CLARA BARTON BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5738
Mailing Address - Country:US
Mailing Address - Phone:469-800-2260
Mailing Address - Fax:469-800-2270
Practice Address - Street 1:601 CLARA BARTON BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5738
Practice Address - Country:US
Practice Address - Phone:469-800-2260
Practice Address - Fax:469-800-2270
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35080283207Q00000X
TXP1366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00398308OtherRAILROAD MEDICARE PIN
TXTXB147543OtherMEDICARE
TX295510602Medicaid
TXTXB147543OtherMEDICARE
OH7337711Medicare PIN
P00398308OtherRAILROAD MEDICARE PIN
TX295510601Medicaid