Basic Information
| Provider Information | |||||||||
| NPI: | 1003011024 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | DAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | CPO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 183 | ||||||||
| Address2: | |||||||||
| City: | RIO FRIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788790183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302325815 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12926 WILLOW CHASE DR | ||||||||
| Address2: | PEDIATRIC PROSTHETICS INC | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770705641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2818471108 | ||||||||
| FaxNumber: | 2818978462 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224P00000X | 67 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Prosthetist |
No ID Information.