Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 23338 | TX |
NPI | 1104026939 |
---|---|
Provider Name | Christopher D. Morris |
First Address | Colleyville, TX 76034-6289 |
Second Address | Colleyville, TX 76034-6289 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 18/07/2013 |