Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP146014 | TX |
NPI | 1013510783 |
---|---|
Provider Name | Crystal Morris |
First Address | Houston, TX 77033-1933 |
Second Address | Baytown, TX 77521-2122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2020 |
Last Update Date | 17/11/2020 |