Individual
DEBRA L. MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 875-6603
Mailing address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 875-6603
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1887
DENTAL ASSISTANT LICENSE
TX
Enumeration date
12/28/2006
Last updated
07/08/2007
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