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NPI Code Detail

MEDICARE: CARLOS MORRIS

MEDICARE: CARLOS MORRIS
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
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295195469
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS MORRIS
Provider Business Mailing Address
First Line : 2620 CENTARY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104
Country : US
Telephone Number : 318-681-9935
Fax Number :
Provider Business Practice Location Address
First Line : 2620 CENTENARY BLVD STE 312
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-3358
Country : US
Telephone Number : 318-216-5088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 12/05/2023

Similar Medicare Providers

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1316306905 — STEPHANIE MCCONNELL M.A.
Practice Location Address:
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1114387388 — COURTNEY BLEDSOE
Practice Location Address:
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Directions to “ CARLOS MORRIS ” Practice Location

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