Healthcare Provider Details

I. General information

NPI: 1992993182
Provider Name (Legal Business Name): ANDREA MARIE MORRIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6098 FM 311
SPRING BRANCH TX
78070-7253
US

IV. Provider business mailing address

26910 TRINITY WOODS
SAN ANTONIO TX
78261-2422
US

V. Phone/Fax

Practice location:
  • Phone: 830-885-5541
  • Fax: 830-885-5542
Mailing address:
  • Phone: 210-200-9699
  • Fax: 830-980-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: