=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346377710
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RANDALL EMMETT MORRIS MD FACC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 915 GESSNER RD SUITE 900
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024-2527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-464-6006
-----------------------------------------------------
Fax | 713-464-1272
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 915 GESSNER RD SUITE 900
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024-2527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-464-6006
-----------------------------------------------------
Fax | 713-464-1272
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | G8303
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------