Jerry W Morris Pa | |
170 Players Cir Suite 110 Southlake TX 76092-6942 | |
(817) 885-9242 | |
Not Available |
Full Name | Jerry W Morris Pa |
---|---|
Speciality | Family Medicine |
Location | 170 Players Cir, Southlake, Texas |
Authorized Official Name and Position | Jerry W Morris (OWNER) |
Authorized Official Contact | 8179665154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jerry W Morris Pa Po Box 96164 Southlake TX 76092-0126 Ph: (817) 885-9242 | Jerry W Morris Pa 170 Players Cir Suite 110 Southlake TX 76092-6942 Ph: (817) 885-9242 |
NPI Number | 1851342547 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 03/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851342547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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