Organization Active NPI

Pediatric Respiratory Care

Doing business as Carlus Morgan

  • Oxygen Equipment & Supplies (DME)
  • Longview, TX
National Provider Identifier
1780789545
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0031954 Issued in TX
Legal business name
PEDIATRIC RESPIRATORY CARE
Doing business as
Carlus Morgan
Practice address
102 Commander
Suite 8
Longview, TX 75605-4608
Phone
(903) 753-9961
Fax
(903) 753-9976
NPI assigned
Sep 14, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Carlus Wayne Morgan, CRT RCP
Title
Owner
Phone
(903) 753-9961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X 0031954 TX Primary

Addresses

Primary practice location

102 Commander
Suite 8
Longview, TX 75605-4608

Mailing address

102 Commander
Suite 8
Longview, TX 75605-4608
Phone (903) 753-9961

Other identifiers 3

IdentifierTypeStateIssuer
011433201MedicaidTX
010040601OtherTXMEDICAID
519244OtherTXBCBS

Other names 1

  • Carlus Morgan Doing business as

National Provider Directory

National Provider Directory

Locations

102 Commander Dr
Ste 8
Longview, TX 75605
Phone (903) 753-9961

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780789545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMMANDER",
            "address_2": "SUITE 8",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054608",
            "telephone_number": "903-753-9961",
            "fax_number": "903-753-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMANDER",
            "address_2": "SUITE 8",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054608",
            "telephone_number": "903-753-9961",
            "fax_number": "903-753-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC RESPIRATORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CARLUS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-753-9961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT RCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0031954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011433201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "010040601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "519244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlus Morgan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.