Provider Demographics
NPI:1366135469
Name:MORGAN, RYAN STANTON (MLS(ASCP))
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:STANTON
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MLS(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 E RANCIER AVE APT 3102
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-4199
Mailing Address - Country:US
Mailing Address - Phone:757-202-0368
Mailing Address - Fax:
Practice Address - Street 1:3316 E RANCIER AVE APT 3102
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-4199
Practice Address - Country:US
Practice Address - Phone:757-202-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist