Jerry Walter Morris
Family Doctor General Practice Physician
1205 S. Whitechapel Blvd #215
Southlake
, Texas 76092-0126
Jerry Walter Morris
Family Doctor General Practice Physician
1205 S. Whitechapel Blvd #215
Southlake
, Texas 76092-0126
(817) 732-8015
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jerry Walter Morris
- Po Box 96164
- Southlake, TX
- Zip : 76092-0126
- Fax : (817) 732-8015
- Phone : (817) 731-6121
Second Address
- Jerry Walter Morris
- 1205 S. Whitechapel Blvd #215
- Southlake, TX
- Zip : 76092-0126
- Fax : (817) 288-0758
- Phone : (817) 454-0019
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | E6536 | TX |
| Y | 208D00000X | General Practice Physician | E6536 | TX |
National Provider Identifier
| NPI | 1003881590 |
|---|---|
| Provider Name | Jerry Walter Morris |
| First Address | Southlake, TX 76092-0126 |
| Second Address | Southlake, TX 76092-0126 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2006 |
| Last Update Date | 19/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E46850 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.