Provider Demographics
NPI:1497928709
Name:ALLRED, MORRIS DUANE JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:DUANE
Last Name:ALLRED
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:556 S HITT ST
Mailing Address - Street 2:
Mailing Address - City:BOYD
Mailing Address - State:TX
Mailing Address - Zip Code:76023-3332
Mailing Address - Country:US
Mailing Address - Phone:940-465-0147
Mailing Address - Fax:
Practice Address - Street 1:2020 W STATE HIGHWAY 114
Practice Address - Street 2:SUITE 340
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8649
Practice Address - Country:US
Practice Address - Phone:817-812-8380
Practice Address - Fax:817-812-8385
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical