Organization
PEDIATRIC RESPIRATORY CARE
Active
Other names
Carlus Morgan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLUS WAYNE MORGAN CRT RCP (OWNER)
(903) 753-9961
Entity
Organization
Contact information
Practice address
102 COMMANDER, SUITE 8, LONGVIEW, TX 75605-4608
(903) 753-9961
(903) 753-9976
Mailing address
102 COMMANDER, SUITE 8, LONGVIEW, TX 75605-4608
(903) 753-9961
(903) 753-9976
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0031954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010040601
MEDICAID
TX
05
—
011433201
—
TX
01
—
519244
BCBS
TX
Enumeration date
09/14/2006
Last updated
06/26/2008
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