Healthcare Provider Details

I. General information

NPI: 1346990603
Provider Name (Legal Business Name): DESIREE MORRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 N TOWN CENTER DR STE 414
LAS VEGAS NV
89144-0518
US

IV. Provider business mailing address

1138 WESTLUND DR
LAS VEGAS NV
89102-2140
US

V. Phone/Fax

Practice location:
  • Phone: 702-456-3120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number29957
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: