Provider Demographics
NPI:1417045477
Name:MORRIS, TAMEIKA W (ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:TAMEIKA
Middle Name:W
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ANP-C
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Mailing Address - Street 1:745 MULBERRY LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1426
Mailing Address - Country:US
Mailing Address - Phone:972-230-0493
Mailing Address - Fax:
Practice Address - Street 1:5300 UNIVERSITY HILLS BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-1219
Practice Address - Country:US
Practice Address - Phone:214-941-3500
Practice Address - Fax:214-389-1084
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX675747207QG0300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ58122Medicare UPIN