Individual
JACK MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4262
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BH1011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061EG
BCBS
TX
01
—
080146354
RAIL ROAD
TX
05
—
139797813
—
TX
05
—
139797821
—
TX
05
—
139797822
—
TX
05
—
139797823
—
TX
05
—
139797824
—
TX
05
—
139797825
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
8DP962
BCBS
TX
01
—
8DU468
BCBS
TX
01
—
P00792079
RAIL ROAD
TX
01
—
P01304469
RAIL ROAD
TX
Enumeration date
10/20/2005
Last updated
03/16/2015
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