Provider Demographics
NPI:1598703720
Name:MORRIS, BERNARD DAVID JR (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:DAVID
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1908 N LAURENT ST STE 410
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5469
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-371-7090
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY STE 370
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-3201
Practice Address - Country:US
Practice Address - Phone:254-618-4320
Practice Address - Fax:254-618-4325
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG70216208800000X
TXN3192208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF46191Medicare UPIN
CAW14188Medicare ID - Type Unspecified