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NPI Code Detail

MEDICARE: DR. STEPHEN TRACY MORRIS DDS

MEDICARE:  DR. STEPHEN TRACY MORRIS  DDS
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
11223G0001XGeneral Practice Dentistry10337TX

General Provider Information

NPI Number : 1902972482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN TRACY MORRIS DDS
Provider Business Mailing Address
First Line : 425 SOUTH SUMMIT AVE.
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-1023
Country : US
Telephone Number : 817-335-3993
Fax Number : 817-335-3996
Provider Business Practice Location Address
First Line : 425 S SUMMIT AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-1023
Country : US
Telephone Number : 817-335-3993
Fax Number : 817-335-3996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEPHEN TRACY MORRIS DDS” Practice Location

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