Provider Demographics
NPI:1487531943
Name:MORRIS, CLINTON ERNEST (ATC LAT)
Entity type:Individual
Prefix:
First Name:CLINTON
Middle Name:ERNEST
Last Name:MORRIS
Suffix:
Gender:M
Credentials:ATC LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 J T OTTINGER RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6685
Mailing Address - Country:US
Mailing Address - Phone:817-676-3663
Mailing Address - Fax:
Practice Address - Street 1:2301 J T OTTINGER RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6685
Practice Address - Country:US
Practice Address - Phone:817-676-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT20842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer