Individual
CLYDE R. MORRON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1700 MURCHISON DR, SUITE 215, EL PASO, TX 79902-2931
(915) 544-3254
(915) 544-1203
Mailing address
1700 MURCHISON DR, SUITE 215, EL PASO, TX 79902-2931
(915) 544-3254
(915) 544-1203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9799
BC/BS OF TEXAS
TX
Enumeration date
08/09/2006
Last updated
11/04/2011
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