MEDICARE: DR. PRISCILLA W MORRIS D.D.S.

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	1223G0001X	General Practice Dentistry	17295	TX

General Provider Information

NPI Number	:	1801008602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRISCILLA W MORRIS D.D.S.

Provider Business Mailing Address
First Line	:	17295 EL CAMINO REAL
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77058-2768
Country	:	US
Telephone Number	:	281-461-4500
Fax Number	:	281-461-4533

Provider Business Practice Location Address
First Line	:	14870 SPACE CENTER BLVD
Second Line	:	SUITE D
City	:	HOUSTON
State	:	TX
Zip	:	77062-2368
Country	:	US
Telephone Number	:	281-461-4500
Fax Number	:	281-461-4533

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	01/25/2011

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