Provider Demographics
NPI:1962519439
Name:MORRIS, MICHAEL THOMAS (PA-C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:THOMAS
Last Name:MORRIS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1903 PITTS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1352
Mailing Address - Country:US
Mailing Address - Phone:832-577-6887
Mailing Address - Fax:832-577-6887
Practice Address - Street 1:7101 W GRAND PKWY S
Practice Address - Street 2:SUITE 180
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8660
Practice Address - Country:US
Practice Address - Phone:832-304-2309
Practice Address - Fax:713-439-7995
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2015-01-13
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Provider Licenses
StateLicense IDTaxonomies
TXPA04577363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant