Provider Demographics
NPI:1912004672
Name:MORRIS, TAMAARA A (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:TAMAARA
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:25250 NORTHWEST FWY
Mailing Address - Street 2:SUITE #270
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1074
Mailing Address - Country:US
Mailing Address - Phone:832-653-5705
Mailing Address - Fax:832-653-5713
Practice Address - Street 1:25250 NORTHWEST FWY
Practice Address - Street 2:SUITE #270
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1074
Practice Address - Country:US
Practice Address - Phone:832-653-5705
Practice Address - Fax:832-653-5713
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0190270701223G0001X
TX305161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019027070Medicaid