MEDICARE: WILFORD V MORRIS JR DO PA

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	261Q00000X	Clinic/Center	E3382	TX

General Provider Information

NPI Number	:	1629020458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILFORD V MORRIS JR DO PA

Provider Business Mailing Address
First Line	:	1411 HIGHWAY 90 W
Second Line	:
City	:	SEALY
State	:	TX
Zip	:	77474-3854
Country	:	US
Telephone Number	:	979-885-7466
Fax Number	:	979-885-6922

Provider Business Practice Location Address
First Line	:	1411 HIGHWAY 90 W
Second Line	:
City	:	SEALY
State	:	TX
Zip	:	77474-3854
Country	:	US
Telephone Number	:	979-885-7466
Fax Number	:	979-885-6922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILFORD VICTOR MORRIS JR.
Credential	:	DO
Telephone Number	:	979-885-7466

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2020

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