Morgan Bay Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MORGAN BAY HEALTH LLC

Practice address

3623 S Main St Ste 109
Stafford, TX 77477-5406

Phone

(281) 969-7643

Fax

(281) 969-5332

NPI assigned

Dec 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deidre Lashea Carr, DO

Title

Office Manager

Phone

(281) 969-7643

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1265079461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 S MAIN ST STE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "281-969-7643",
            "fax_number": "281-969-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 S MAIN ST STE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "281-969-7643",
            "fax_number": "281-969-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN BAY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_middle_name": "LASHEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-969-7643",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Argelia Morales
• Megan Claire Moran
• Kristen More, SLP
• Christina Renea Moreno
• Tami Morford, RPH
• Dominic Andrew Morgan I
• Joan Eunice Morillo
• Gracia Morin
• Dell Joshua Mortensen
• Maci Mortillaro, PT

• Family Medicine Physician in Stafford, TX
• Providers in Stafford, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.