Provider Demographics
NPI:1700871860
Name:MORRELL, ROSALYN MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALYN
Middle Name:MICHELLE
Last Name:MORRELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSALYN
Other - Middle Name:MICHELLE
Other - Last Name:THOMAS-MORRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8900 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1958
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:909 FROSTWOOD DR STE 152
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2308
Practice Address - Country:US
Practice Address - Phone:713-242-3500
Practice Address - Fax:713-242-3514
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ332682085R0001X
TXN69342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ33268OtherLICENSE
TX214818101Medicaid
TX214818102Medicaid
AZBM9012991OtherDEA
AZBM9012991OtherDEA
AZI26396Medicare UPIN
TX214818101Medicaid
AZZ108719Medicare PIN