Provider Demographics
NPI:1265574545
Name:MORGAN, RICHARD GREENLEE (MD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GREENLEE
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 1:1705 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802
Mailing Address - Country:US
Mailing Address - Phone:979-775-9483
Mailing Address - Fax:979-775-9557
Practice Address - Street 1:1705 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-775-9483
Practice Address - Fax:979-775-9557
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5864207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
826393095OtherRAILROAD MEDICARE
17899OtherSCOTT WHITE
TX032263801Medicaid
826393095OtherRAILROAD MEDICARE
00BK31Medicare ID - Type Unspecified