Provider Demographics
NPI:1174403091
Name:JARVIS, MORGYN
Entity type:Individual
Prefix:
First Name:MORGYN
Middle Name:
Last Name:JARVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LAURYN DR APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-1957
Mailing Address - Country:US
Mailing Address - Phone:956-272-4700
Mailing Address - Fax:
Practice Address - Street 1:1209 S 10TH ST STE 386
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5059
Practice Address - Country:US
Practice Address - Phone:956-272-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician