Morper, Jack Gregory

Morper, Jack Gregory is an individual health care provider with primary practice located at 3108 Ranch Road 620 S , Lakeway TX 78738-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Morper, Jack Gregory can be contacted via phone (512) 654-4200.

Contact Information

Primary practice address
3108 Ranch Road 620 S Lakeway TX 78738-5635
Phone: (512) 654-4200
Fax: (512) 654-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00025375 Washington

Profile Details

NPI number 1851397798
LBN Legal business name Morper, Jack Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jun 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851397798 NPPES
Washington MEDICAID 8417511

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