Provider Demographics
NPI:1639127210
Name:MORRISS, MICHAEL CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CRAIG
Last Name:MORRISS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 845347
Mailing Address - Street 2:UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL, DEPT RADIOLOG
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-0624
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:5323 HARRY HINES BOULEVARD
Practice Address - Street 2:UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL, DEPT RADIOLOG
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9257
Practice Address - Country:US
Practice Address - Phone:214-456-4036
Practice Address - Fax:214-645-0078
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-01-09
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Provider Licenses
StateLicense IDTaxonomies
TXJ01442085R0202X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046305106Medicaid
G43301Medicare UPIN
TX8J8036Medicare PIN