Provider Demographics
NPI:1467874198
Name:MORRIS, MARK A (RDMS (AB-OB), RVT)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:M
Credentials:RDMS (AB-OB), RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 W UNIVERSITY DR
Mailing Address - Street 2:STE B #337
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1889
Mailing Address - Country:US
Mailing Address - Phone:940-368-0220
Mailing Address - Fax:
Practice Address - Street 1:624 W UNIVERSITY DR
Practice Address - Street 2:STE B #337
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1889
Practice Address - Country:US
Practice Address - Phone:940-368-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD427712471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography