MEDICARE: MARK C MORRISON DC

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	111N00000X	Chiropractor	8162	TX

General Provider Information

NPI Number	:	1558451922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK C MORRISON DC

Provider Business Mailing Address
First Line	:	3629 FAIRMOUNT ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4710
Country	:	US
Telephone Number	:	214-415-2830
Fax Number	:	214-522-8619

Provider Business Practice Location Address
First Line	:	3629 FAIRMOUNT ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4710
Country	:	US
Telephone Number	:	214-415-2830
Fax Number	:	214-522-8619

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	06/25/2008

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Directions to “ MARK C MORRISON DC” Practice Location

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