Provider Demographics
NPI:1578847422
Name:MORRIS, DEWAYNE R (ATP)
Entity Type:Individual
Prefix:
First Name:DEWAYNE
Middle Name:R
Last Name:MORRIS
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 N LAMAR BLVD
Mailing Address - Street 2:SUITE 206B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1837
Mailing Address - Country:US
Mailing Address - Phone:512-563-5104
Mailing Address - Fax:512-454-9521
Practice Address - Street 1:5400 N LAMAR BLVD
Practice Address - Street 2:SUITE 206B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1837
Practice Address - Country:US
Practice Address - Phone:512-563-5104
Practice Address - Fax:512-454-9521
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other