Provider Demographics
NPI:1639201874
Name:MORRIS, TERRY L (LSA)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:L
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8804 TEXAS SUN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6306
Mailing Address - Country:US
Mailing Address - Phone:512-326-9111
Mailing Address - Fax:512-280-6220
Practice Address - Street 1:8804 TEXAS SUN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6306
Practice Address - Country:US
Practice Address - Phone:512-326-9111
Practice Address - Fax:512-280-6220
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00258246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist