Organization
RAY L MORRISON D.O. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY L MORRISON D.O. PA (D.O. OWNER)
(936) 544-7757
Entity
Organization
Contact information
Practice address
200 RENAISSANCE WAY, SUITE 100, CROCKETT, TX 75835-1772
(936) 544-7757
(936) 545-0952
Mailing address
200 RENAISSANCE WAY, SUITE 100, CROCKETT, TX 75835-1772
(936) 544-7757
(936) 545-0952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DOH2621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033511901
—
TX
01
—
TXB144838
MEDICARE ID
TX
Enumeration date
12/21/2011
Last updated
05/04/2012
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