Provider Demographics
NPI:1609858232
Name:PATTESON, MORRIS K JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:K
Last Name:PATTESON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:207 W AVENUE E
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-1820
Mailing Address - Country:US
Mailing Address - Phone:512-556-3621
Mailing Address - Fax:512-556-6594
Practice Address - Street 1:187 PRIVATE ROAD 4060
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-4071
Practice Address - Country:US
Practice Address - Phone:512-556-3621
Practice Address - Fax:512-556-6594
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE2779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080149495OtherMEDICARE RAILROAD
TX132325502Medicaid
TX90046OtherSCOTT & WHITE
TX118137OtherSUPERIOR
TX89Y901OtherBLUE CROSS/BLUE SHIELD
TX121173100OtherFIRST CARE
TX118137OtherSUPERIOR
TX132325502Medicaid