MEDICARE: MRS. TAMEIKA W MORRIS ANP-C

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	675747	TX
2	363LA2200X	Adult Health Nurse Practitioner	675747	TX

General Provider Information

NPI Number	:	1417045477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMEIKA W MORRIS ANP-C

Provider Business Mailing Address
First Line	:	745 MULBERRY LN
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1426
Country	:	US
Telephone Number	:	972-230-0493
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 UNIVERSITY HILLS BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-1219
Country	:	US
Telephone Number	:	214-941-3500
Fax Number	:	214-389-1084

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	11/06/2023

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