Provider Demographics
NPI:1558117085
Name:MORROW, DEANGELIA HOYT (ABOC)
Entity type:Individual
Prefix:
First Name:DEANGELIA
Middle Name:HOYT
Last Name:MORROW
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:907 N GROSSMAN ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TX
Mailing Address - Zip Code:76380-3926
Mailing Address - Country:US
Mailing Address - Phone:940-636-8651
Mailing Address - Fax:940-889-4010
Practice Address - Street 1:101B N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-2556
Practice Address - Country:US
Practice Address - Phone:940-889-4010
Practice Address - Fax:940-889-4010
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174583156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician