Provider Demographics
NPI:1861760449
Name:MORRELL, ROCCO L (DO)
Entity type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:L
Last Name:MORRELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 KINGS ROW
Mailing Address - Street 2:
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-5400
Mailing Address - Country:US
Mailing Address - Phone:409-724-1456
Mailing Address - Fax:
Practice Address - Street 1:450 KINGS ROW
Practice Address - Street 2:
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-5400
Practice Address - Country:US
Practice Address - Phone:409-724-1456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4306207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine