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Provider Information for 1053848762


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Ms. MORGAN M COVINGTON MD


Sex: Female

NPI: 1053848762
Last Updated: 2021-05-11
Certification Date: 2021-05-11

Details

NameValue
NPI1053848762
Enumeration Date2017-05-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1760 ROUND ROCK AVE
ROUND ROCK, TX 78681-4217
United States

Phone: 512-583-3376 | Fax:512-666-3243
 
Primary Practice Address 1760 ROUND ROCK AVE
ROUND ROCK, TX 78681-4217
United States

Phone: 512-583-3376 | Fax:512-666-3243
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 207N00000X - Dermatology TXT0071