Basic Information
Provider Information
NPI: 1649784919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN-GRICE
FirstName: D'SHUANNA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORGAN
OtherFirstName: D'SHUANNA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: FNP-C
OtherLastNameType: 1
Mailing Information
Address1: 2150 W 18TH ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770085200
CountryCode: US
TelephoneNumber: 7134260027
FaxNumber:  
Practice Location
Address1: 2150 W 18TH ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 77008
CountryCode: US
TelephoneNumber: 7134260027
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/25/2017
LastUpdateDate: 05/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XAP134403TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
363LF0000XAP134403TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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