Individual
DR. MARK MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K5357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428104-01
—
TX
01
—
84007K
BLUE SHIELD
TX
01
—
P00250668
RR/MEDICARE
TX
Enumeration date
03/30/2006
Last updated
01/26/2022
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