Mark Morris, Md, Pa | |
2030 Stonegate Blvd Tyler TX 75703-0103 | |
(903) 539-2372 | |
Not Available |
Full Name | Mark Morris, Md, Pa |
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Speciality | General Practice |
Location | 2030 Stonegate Blvd, Tyler, Texas |
Authorized Official Name and Position | James Mark Morris (PRESIDENT) |
Authorized Official Contact | 9035392372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark Morris, Md, Pa 2030 Stonegate Blvd Tyler TX 75703-0103 Ph: (903) 539-2372 | Mark Morris, Md, Pa 2030 Stonegate Blvd Tyler TX 75703-0103 Ph: (903) 539-2372 |
NPI Number | 1437556867 |
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Provider Enumeration Date | 12/01/2014 |
Last Update Date | 12/01/2014 |
Medicare PECOS PAC ID | 9739402256 |
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Medicare Enrollment ID | O20150107002460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437556867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | James M Morris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871520577 PECOS PAC ID: 8426942756 Enrollment ID: I20040209001056 |
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