Provider Demographics
NPI:1801981956
Name:THANE MORGAN, M.D.P.A.
Entity type:Organization
Organization Name:THANE MORGAN, M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:THANE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-468-4910
Mailing Address - Street 1:1600 S. COULTER BUILDING B
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-0703
Mailing Address - Country:US
Mailing Address - Phone:806-355-4900
Mailing Address - Fax:806-355-4903
Practice Address - Street 1:1600 S. COULTER BUILDING B
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-0703
Practice Address - Country:US
Practice Address - Phone:806-355-4900
Practice Address - Fax:806-355-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1264207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBLUE CROSS BLUE SHIEOther0008EC
TXFIRSTCAREOther119873102
TX031215904Medicaid
TXPALMETTO GBAOther200043671
TXFIRSTCAREOther119873102
TX031215904Medicaid