Individual
GLENN L. MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17070 RED OAK DR, SUITE 301, HOUSTON, TX 77090-2619
(281) 444-0865
(281) 444-6037
Mailing address
17070 RED OAK DR, SUITE 301, HOUSTON, TX 77090-2619
(281) 444-0865
(281) 444-6037
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
019589
LA
207VG0400X
Gynecology Physician
Primary
J0606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096DN
BLUE CROSS BLUE SHIELD
TN
05
—
10018165
—
TN
05
—
111898602
—
TN
05
—
111898602
—
TX
05
—
1381748
—
LA
05
—
913214700
—
FL
Enumeration date
08/31/2006
Last updated
11/16/2011
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