Individual
DR. MARK MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 S 31ST ST, TEMPLE, TX 76504-6728
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
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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