# MORRIS MEDICAL GROUP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922410935
- **Authorized official:** DR. JERRY W MORRIS DO (MANAGING MEMBER)
- **Authorized official phone:** (817) 739-7641

## Contact information

- **Practice address:** 1941 BISHOP LN, \#508, LOUISVILLE, KY 40218-1922
- **Practice address phone:** (817) 739-7641
- **Practice address fax:** (817) 288-0758
- **Mailing address:** PO BOX 96164, SOUTHLAKE, TX 76092-0126
- **Mailing address phone:** (817) 739-7641
- **Mailing address fax:** (817) 288-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 03530 | KY | Yes |

## Other

- **Enumeration date:** 05/24/2014
- **Last updated:** 05/24/2014