Provider Demographics
NPI:1598976268
Name:MORRISS, SCOTT LEE (LVN)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:LEE
Last Name:MORRISS
Suffix:
Gender:M
Credentials:LVN
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Mailing Address - Street 1:302 UNIVERISTY BLVD.
Mailing Address - Street 2:SCOTT & WHITE HEALTHCARE
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1032
Mailing Address - Country:US
Mailing Address - Phone:512-509-5365
Mailing Address - Fax:512-509-5424
Practice Address - Street 1:302 UNIVERISTY BLVD.
Practice Address - Street 2:SCOTT & WHITE HEALTHCARE
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1032
Practice Address - Country:US
Practice Address - Phone:512-509-5365
Practice Address - Fax:512-509-5424
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX168792164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168792OtherTEXAS VOCATIONAL NURSING LICENSE