Provider Demographics
NPI:1598002958
Name:TAI, MORRIS JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:JAMES
Last Name:TAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 MADISON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3150
Mailing Address - Country:US
Mailing Address - Phone:916-334-6262
Mailing Address - Fax:916-334-6729
Practice Address - Street 1:5330 MADISON AVE STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3150
Practice Address - Country:US
Practice Address - Phone:916-334-6262
Practice Address - Fax:916-334-6729
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor