Individual
SAM MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1108 LAVACA ST # 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
Mailing address
520 SACRAMENTO DR, AUSTIN, TX 78704-6345
(512) 633-2277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135318
TX
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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