Healthcare Provider Details

I. General information

NPI: 1255742482
Provider Name (Legal Business Name): MARK A. MORRIS POINT OF CARE ULTRASOUND IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 05/22/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W UNIVERSITY DR STE B #337
DENTON TX
76201-1889
US

IV. Provider business mailing address

624 W UNIVERSITY DR STE B #337
DENTON TX
76201-1889
US

V. Phone/Fax

Practice location:
  • Phone: 940-368-0220
  • Fax: 940-222-2723
Mailing address:
  • Phone: 940-368-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number42771
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number42771
License Number StateTX

VIII. Authorized Official

Name: MARK A. MORRIS
Title or Position: OWNER/SONOGRAPHER
Credential: ARDMS (AB-OB), RVT
Phone: 940-368-0220