Healthcare Provider Details

I. General information

NPI: 1417045477
Provider Name (Legal Business Name): TAMEIKA W MORRIS ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 UNIVERSITY HILLS BLVD
DALLAS TX
75241-1219
US

IV. Provider business mailing address

745 MULBERRY LN
DESOTO TX
75115-1426
US

V. Phone/Fax

Practice location:
  • Phone: 214-941-3500
  • Fax: 214-389-1084
Mailing address:
  • Phone: 972-230-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number675747
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number675747
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: