Provider Demographics
NPI:1497091425
Name:MORRISON, JERRY (ATP, MSS II)
Entity Type:Individual
Prefix:
First Name:JERRY
Middle Name:
Last Name:MORRISON
Suffix:
Gender:M
Credentials:ATP, MSS II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18903 LIVE OAK TRL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-3541
Mailing Address - Country:US
Mailing Address - Phone:281-357-4554
Mailing Address - Fax:
Practice Address - Street 1:4401 S PINEMONT DR
Practice Address - Street 2:SUITE 216
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-9327
Practice Address - Country:US
Practice Address - Phone:713-835-3389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other