Basic Information
Provider Information
NPI: 1063875417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: NURAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 205 E UNIVERSITY AVE STE 200
Address2:  
City: GEORGETOWN
State: TX
PostalCode: 786266821
CountryCode: US
TelephoneNumber: 8778005722
FaxNumber:  
Practice Location
Address1: 1900 SCENIC DR STE 3326
Address2:  
City: GEORGETOWN
State: TX
PostalCode: 786267876
CountryCode: US
TelephoneNumber: 8778005722
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2016
LastUpdateDate: 03/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XS5709TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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