Provider Demographics
NPI:1588936629
Name:MICKEY D MORGAN MD PA
Entity type:Organization
Organization Name:MICKEY D MORGAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-618-6200
Mailing Address - Street 1:5575 WARREN PKWY STE 304
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4066
Mailing Address - Country:US
Mailing Address - Phone:214-618-6200
Mailing Address - Fax:214-618-6205
Practice Address - Street 1:5575 WARREN PKWY STE 304
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4066
Practice Address - Country:US
Practice Address - Phone:214-618-6200
Practice Address - Fax:214-618-6205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3121208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C19598Medicare UPIN