Provider Demographics
NPI:1518985753
Name:MORRIS, BISHAWN WATSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BISHAWN
Middle Name:WATSON
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1525 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-5076
Mailing Address - Country:US
Mailing Address - Phone:501-758-1530
Mailing Address - Fax:501-819-6171
Practice Address - Street 1:1525 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5076
Practice Address - Country:US
Practice Address - Phone:501-758-1530
Practice Address - Fax:501-819-6171
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3923208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR7409569OtherAETNA
AR05030024700OtherQUALCHOICE
AR5M932OtherAR BLUECROSS BLUESHIELD
AR154397001Medicaid
AR4025739OtherCIGNA
AR11559433OtherCAQH