MEDICARE: DR. LAWRENCE WAYNE MORRIS DDS

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	1223G0001X	General Practice Dentistry	18770	TX

General Provider Information

NPI Number	:	1538375688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE WAYNE MORRIS DDS

Provider Business Mailing Address
First Line	:	3318 E SOUTHCROSS BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1922
Country	:	US
Telephone Number	:	210-533-3970
Fax Number	:	210-533-2220

Provider Business Practice Location Address
First Line	:	3318 E SOUTHCROSS BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1922
Country	:	US
Telephone Number	:	210-533-3970
Fax Number	:	210-533-2220

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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