Provider Demographics
NPI:1417026808
Name:MORRIS, JAMES DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DANIEL
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1501 KINGS HWY
Mailing Address - Street 2:LSUHSC, SECTION OF GASTROENTEROLOGY AND HEPATOLOGY
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-4228
Mailing Address - Country:US
Mailing Address - Phone:318-675-5982
Mailing Address - Fax:318-675-5957
Practice Address - Street 1:1501 KINGS HWY
Practice Address - Street 2:LSUHSC, SECTION OF GASTROENTEROLOGY AND HEPATOLOGY
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-4228
Practice Address - Country:US
Practice Address - Phone:318-675-5982
Practice Address - Fax:318-675-5957
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA026526207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1057908Medicaid
LA4K934CW01OtherMEDICARE PTAN
LA4K934CW01OtherMEDICARE PTAN