NPIMap

Organization Active NPI

Glenn L. Morgan M.D.,PA

  • Obstetrics Physician
  • Houston, TX
National Provider Identifier
1487809067
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
J0606 Issued in TX
Legal business name
GLENN L. MORGAN M.D.,PA
Practice address
17070 Red Oak Drive, Ste 301
Houston, TX 77090
Phone
(281) 444-0865
Fax
(281) 444-6037
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Gracie Garcia
Title
LVN, Insurance Processor
Phone
(281) 444-0865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X J0606 TX
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X J0606 TX Primary

Addresses

Primary practice location

17070 Red Oak Drive, Ste 301
Houston, TX 77090

Mailing address

17070 Red Oak Dr Ste 301
Houston, TX 77090-2616
Phone (281) 444-0865

Other identifiers 6

IdentifierTypeStateIssuer
913214700MedicaidFL
0096DNOtherTXBLUE CROSS BLUE SHIELD
1381748MedicaidLA
160056100OtherTXRAIL ROAD
111898602MedicaidTX
B65629OtherTXUPIN

National Provider Directory

National Provider Directory

Locations

17070 Red Oak Dr
Ste 301
Houston, TX 77090
Phone (281) 444-0865

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1487809067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902616",
            "telephone_number": "281-444-0865",
            "fax_number": "281-444-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DRIVE, STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-444-0865",
            "fax_number": "281-444-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN L. MORGAN M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_title_or_position": "LVN, INSURANCE PROCESSOR",
        "authorized_official_telephone_number": "281-444-0865"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J0606",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J0606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913214700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0096DN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1381748",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "160056100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111898602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B65629",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.