Provider Demographics
NPI:1659063535
Name:MORRIS, SHERMANCE CRISTA (RDH, BBA)
Entity Type:Individual
Prefix:MRS
First Name:SHERMANCE
Middle Name:CRISTA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RDH, BBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 DESERT CANDLE DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2452
Mailing Address - Country:US
Mailing Address - Phone:512-789-7749
Mailing Address - Fax:
Practice Address - Street 1:2805 DESERT CANDLE DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2452
Practice Address - Country:US
Practice Address - Phone:512-789-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16801174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist