Provider Demographics
NPI:1992993182
Name:MORRIS, ANDREA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26910 TRINITY WOODS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2422
Mailing Address - Country:US
Mailing Address - Phone:210-200-9699
Mailing Address - Fax:830-980-8050
Practice Address - Street 1:6098 FM 311
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-7253
Practice Address - Country:US
Practice Address - Phone:830-885-5541
Practice Address - Fax:830-885-5542
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical