Individual
TRINA MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5297 S 31ST SUITE117A, TEMPLE, TX 76504
(254) 213-4376
Mailing address
5297 S 31ST ST STE 117A, TEMPLE, TX 76502-3512
(254) 213-4376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1587007
TX
207NP0225X
Pediatric Dermatology Physician
1587007
TX
207RX0202X
Medical Oncology Physician
1587007
TX
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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