Organization
MORRELL DERMATOLOGY, P.A.
Active
Organization
MORRELL DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MORRELL D.O. (PRESIDENT/OWNER)
(409) 898-3900
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST, SUITE 901, BEAUMONT, TX 77706-3000
(409) 898-3900
(409) 898-3901
Mailing address
3560 DELAWARE ST, SUITE 901, BEAUMONT, TX 77706-3000
(409) 898-3900
(409) 898-3901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8197
TX
207ND0101X
MOHS-Micrographic Surgery Physician
M8197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2042281
CLIA
TX
Enumeration date
03/28/2012
Last updated
02/24/2025
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