Provider Demographics
NPI:1215047402
Name:MORRISON, PATRICIA JEANNE (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JEANNE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 RESEARCH BLVD
Mailing Address - Street 2:STE 380
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-338-5201
Mailing Address - Fax:512-338-5205
Practice Address - Street 1:11111 RESEARCH BLVD
Practice Address - Street 2:STE 380
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-338-5201
Practice Address - Fax:512-338-5205
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8742208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00TB60OtherBCBS
TX2319632OtherBLUE LINK
TX127068801Medicaid
C19632Medicare UPIN
TX127068801Medicaid