Individual
MORGAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 634-8311
Mailing address
5116 FM 841, LUFKIN, TX 75901-4641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1355330
TX
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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