Individual
EDWIN ALLEN MORGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1353 N TRAVIS ST, LIBERTY, TX 77575-3549
(936) 697-6959
Mailing address
9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 93636-8761
(559) 353-5700
(559) 353-5708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
708
AK
363A00000X
Physician Assistant
Primary
PA02425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02425
TX PA LIC
TX
Enumeration date
07/26/2006
Last updated
08/23/2022
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