Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 223420 | MA |
N | 208000000X | Pediatrician | N2202 | TX |
N | 2080P0202X | Pediatric Cardiologist | 223420 | MA |
Y | 2080P0202X | Pediatric Cardiologist | N2202 | TX |
NPI | 1184677296 |
---|---|
Provider Name | Dr. Shaine A Morris |
First Address | Houston, TX 77030-2351 |
Second Address | Houston, TX 77030-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 05/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2101726 | (05) | MA |