Provider Demographics
NPI:1386783611
Name:MORGAN, SAMUEL STEWART JR (DO)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:STEWART
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 101ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-5708
Mailing Address - Country:US
Mailing Address - Phone:806-783-0141
Mailing Address - Fax:
Practice Address - Street 1:160 SLATON RD
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79404-5204
Practice Address - Country:US
Practice Address - Phone:806-745-2200
Practice Address - Fax:806-745-3267
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0657207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine