Provider Demographics
NPI:1700983327
Name:MORRIS, DONALD CLINTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CLINTON
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 293639
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-3639
Mailing Address - Country:US
Mailing Address - Phone:830-895-4466
Mailing Address - Fax:830-895-4465
Practice Address - Street 1:695 HILL COUNTRY DR
Practice Address - Street 2:SUITE C
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6076
Practice Address - Country:US
Practice Address - Phone:830-895-4466
Practice Address - Fax:830-895-4465
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1400207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143063902Medicaid
TX0038GUOtherBLUE CROSS BLUE SHIELD TX
TX4230520001OtherCIGNA GOVERNMENT SERVICES
TX0038GUOtherBLUE CROSS BLUE SHIELD TX
TX143063902Medicaid