Organization
MORRIS MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY W MORRIS DO (MANAGING MEMBER)
(817) 739-7641
Entity
Organization
Contact information
Practice address
1941 BISHOP LN, #508, LOUISVILLE, KY 40218-1922
(817) 739-7641
(817) 288-0758
Mailing address
PO BOX 96164, SOUTHLAKE, TX 76092-0126
(817) 739-7641
(817) 288-0758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
03530
KY
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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