Individual
BRENDA H MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 510-1186
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H4419
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H4419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137773109
—
TX
01
—
752616977042
TRICARE
TX
01
—
88Y672
BCBS
TX
Enumeration date
06/27/2006
Last updated
05/10/2022
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