Individual
DR. JACK GREGORY MORPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3108 RANCH ROAD 620 S, LAKEWAY, TX 78738-5635
(512) 654-4200
(512) 654-4201
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00025375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8417511
—
WA
Enumeration date
06/24/2005
Last updated
06/20/2019
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