MEDICARE: DR. SHAINE A MORRIS MD MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	N2202	TX
2	208000000X	Pediatrics Physician	223420	MA
3	2080P0202X	Pediatric Cardiology Physician	223420	MA
4	2080P0202X	Pediatric Cardiology Physician	N2202	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184677296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAINE A MORRIS MD MPH

Provider Business Mailing Address
First Line	:	6651 MAIN ST STE E1920
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2351
Country	:	US
Telephone Number	:	832-826-5682
Fax Number	:	832-826-4297

Provider Business Practice Location Address
First Line	:	6651 MAIN ST FL 21
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2351
Country	:	US
Telephone Number	:	832-826-5682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	03/05/2019

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