Provider Demographics
NPI:1003011024
Name:MORGAN, DAN (CPO)
Entity type:Individual
Prefix:MR
First Name:DAN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:RIO FRIO
Mailing Address - State:TX
Mailing Address - Zip Code:78879-0183
Mailing Address - Country:US
Mailing Address - Phone:830-232-5815
Mailing Address - Fax:
Practice Address - Street 1:12926 WILLOW CHASE DR
Practice Address - Street 2:PEDIATRIC PROSTHETICS INC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5641
Practice Address - Country:US
Practice Address - Phone:281-847-1108
Practice Address - Fax:281-897-8462
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist