Physician Compare National (NPI:1245597483)

HEALTHCARE PROVIDER: DAVID MORRIS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245597483
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799096681
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170622001426
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORRIS
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4401 GARTH RD
	Group Practice or individual's line 1 address
City	BAYTOWN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775212122
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450424
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOUSTON METHODIST SAN JACINTO HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y