Provider Demographics
NPI:1457516056
Name:MORRIS, JUSTIN J (DC)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E MEDICAL CENTER BLVD
Mailing Address - Street 2:#1217
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4361
Mailing Address - Country:US
Mailing Address - Phone:832-216-2218
Mailing Address - Fax:
Practice Address - Street 1:444 E MEDICAL CENTER BLVD
Practice Address - Street 2:#1217
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4361
Practice Address - Country:US
Practice Address - Phone:832-216-2218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor