Provider Demographics
NPI:1487159570
Name:MORRISON, CHRISTIAN THARALE (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:THARALE
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:CHRISTIAN
Other - Middle Name:THARALE
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:412 VILLAGE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4634
Mailing Address - Country:US
Mailing Address - Phone:972-643-8242
Mailing Address - Fax:
Practice Address - Street 1:412 VILLAGE DR STE 300
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4634
Practice Address - Country:US
Practice Address - Phone:972-881-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3073213EP1101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine