Provider Demographics
NPI:1801008602
Name:MORRIS, PRISCILLA W (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:W
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:17295 EL CAMINO REAL
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2768
Mailing Address - Country:US
Mailing Address - Phone:281-461-4500
Mailing Address - Fax:281-461-4533
Practice Address - Street 1:14870 SPACE CENTER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2368
Practice Address - Country:US
Practice Address - Phone:281-461-4500
Practice Address - Fax:281-461-4533
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX172951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice