Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 040490 | GA |
N | 207P00000X | Emergency Physician | 39632 | TN |
Y | 208000000X | Pediatrician | 040490 | GA |
N | 2080P0204X | Pediatric Emergency Doctor | 040490 | GA |
NPI | 1053337543 |
---|---|
Provider Name | Mr. William Joseph Morrissey |
First Address | Frisco, TX 75034-4064 |
Second Address | Frisco, TX 75034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 28/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3332661 | (05) | TN |
4104911 | BLUE CROSS (01) | TN |