| David Morledge Md Pllc | |
|
1106 W Dittmar Rd Austin TX 78745-6328 | |
| (512) 462-6634 | |
| (512) 462-6795 |
| Full Name | David Morledge Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1106 W Dittmar Rd, Austin, Texas |
| Authorized Official Name and Position | David Morledge (MD/OWNER) |
| Authorized Official Contact | 5129645766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Morledge Md Pllc 1106 W Dittmar Rd Austin TX 78745-6328 Ph: (512) 462-6634 | David Morledge Md Pllc 1106 W Dittmar Rd Austin TX 78745-6328 Ph: (512) 462-6634 |
| NPI Number | 1720898000 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 8820527484 |
|---|---|
| Medicare Enrollment ID | O20250128000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720898000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | David W Morledge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225129703 PECOS PAC ID: 1456257401 Enrollment ID: I20100504000498 |
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