MEDICARE: ENRIQUE O MORRIS MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	67399	TX

General Provider Information

NPI Number	:	1316203821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRIQUE O MORRIS MA

Provider Business Mailing Address
First Line	:	PO BOX 540594
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-0594
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N SAINT PAUL ST STE 235
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-3114
Country	:	US
Telephone Number	:	214-331-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	04/09/2012

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Directions to “ ENRIQUE O MORRIS MA” Practice Location

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