Provider Demographics
NPI:1285350108
Name:HYATT, MORGAN (RD,LD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HYATT
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:BARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3832 OVERLOOK CT
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3917
Mailing Address - Country:US
Mailing Address - Phone:586-665-0460
Mailing Address - Fax:
Practice Address - Street 1:3832 OVERLOOK CT
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-3917
Practice Address - Country:US
Practice Address - Phone:586-665-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT88078133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered