Provider Demographics
NPI:1366549321
Name:MORRISON, JOHN H JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:MORRISON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:621 S TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6221
Mailing Address - Country:US
Mailing Address - Phone:956-647-5054
Mailing Address - Fax:956-647-5843
Practice Address - Street 1:2480 W HWY 77 STE 9
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-7715
Practice Address - Country:US
Practice Address - Phone:956-399-7200
Practice Address - Fax:956-399-7201
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018897-01Medicaid
TX8H9255OtherBLUECROSS/BLUESHIELD
TX605348Medicare PIN
TXU59553Medicare UPIN