Individual
MARK BRADLEY MORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 S 8TH ST BLDG A, BEAUMONT, TX 77701-7719
(409) 839-1032
(409) 839-1069
Mailing address
8250 CAROLINE ST, UNIT 1702, HOUSTON, TX 77004
(713) 898-9695
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J4376
TX
2084P0804X
Child & Adolescent Psychiatry Physician
J4376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044305302
—
TX
Enumeration date
08/30/2006
Last updated
03/31/2022
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