Provider Demographics
NPI:1912061532
Name:MORRIS, JAMES E (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-7722
Mailing Address - Country:US
Mailing Address - Phone:432-367-8905
Mailing Address - Fax:432-550-2225
Practice Address - Street 1:600 E 42ND ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-7722
Practice Address - Country:US
Practice Address - Phone:432-367-8905
Practice Address - Fax:432-550-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06040450Medicaid
TX6040450Medicare ID - Type Unspecified