Organization
GLENN L. MORGAN M.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIE GARCIA (LVN, INSURANCE PROCESSOR)
(281) 444-0865
Entity
Organization
Contact information
Practice address
17070 RED OAK DRIVE, STE 301, HOUSTON, TX 77090
(281) 444-0865
(281) 444-6037
Mailing address
17070 RED OAK DR STE 301, HOUSTON, TX 77090-2616
(281) 444-0865
(281) 444-6037
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
J0606
TX
207VX0000X
Obstetrics Physician
Primary
J0606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096DN
BLUE CROSS BLUE SHIELD
TX
05
—
111898602
—
TX
05
—
1381748
—
LA
01
—
160056100
RAIL ROAD
TX
05
—
913214700
—
FL
01
—
B65629
UPIN
TX
Enumeration date
11/24/2008
Last updated
11/24/2008
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