Provider Demographics
NPI:1447665120
Name:MORGAN, REGINA (PBT (ASCP))
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PBT (ASCP)
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:FAY
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PBT (ASCP)
Mailing Address - Street 1:507 N BELT DR E
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4021
Mailing Address - Country:US
Mailing Address - Phone:281-928-4841
Mailing Address - Fax:713-965-7506
Practice Address - Street 1:507 N BELT DR E
Practice Address - Street 2:202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4021
Practice Address - Country:US
Practice Address - Phone:713-965-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-22
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL28656246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy