Provider Demographics
NPI:1306063979
Name:MORRIS, WILFORD VICTOR JR (DO)
Entity type:Individual
Prefix:DR
First Name:WILFORD
Middle Name:VICTOR
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1411 HIGHWAY 90 W
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-3854
Mailing Address - Country:US
Mailing Address - Phone:979-885-7466
Mailing Address - Fax:979-885-6922
Practice Address - Street 1:1411 HIGHWAY 90 W
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-3854
Practice Address - Country:US
Practice Address - Phone:979-885-7466
Practice Address - Fax:979-885-6922
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE3382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R790Medicare ID - Type Unspecified
TXA67430Medicare UPIN