Provider Demographics
NPI:1184677296
Name:MORRIS, SHAINE A (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:SHAINE
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:SHAINE
Other - Middle Name:A
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:6651 MAIN ST STE E1920
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2351
Mailing Address - Country:US
Mailing Address - Phone:832-826-5682
Mailing Address - Fax:832-826-4297
Practice Address - Street 1:6651 MAIN ST FL 21
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2351
Practice Address - Country:US
Practice Address - Phone:832-826-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2202208000000X, 2080P0202X
MA223420208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2101726Medicaid
TX8L18771Medicare PIN