Provider Demographics
NPI:1053606566
Name:MORGAN, JUSTIN PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:PATRICK
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-486-8088
Practice Address - Street 1:23900 KATY FWY STE 450
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:713-486-7980
Practice Address - Fax:713-486-8085
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ52302084N0600X, 2084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB6392OtherRR MDCR GRP PTAN
TX0035TDOtherBCBSTX GRP PROV REC
TX153449704OtherMDCD GRP TPI HARRIS CO.
TX00106WOtherMDCR GRP PTAN HARRIS CO