Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | P2477 | TX |
N | 208600000X | Surgeon | P2477 | TX |
Y | 2086S0129X | Vascular Surgeon | P2477 | TX |
NPI | 1134300387 |
---|---|
Provider Name | Dr. Lee Mathew Morris |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2007 |
Last Update Date | 15/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134300387 | BLUE CROSS BLUE SHIELD (01) | TX |
306036001 | (05) | TX |
306036002 | (05) | TX |
306036003 | (05) | TX |
8DH631 | BCBS (01) | TX |