Provider Demographics
NPI:1841299864
Name:MORRIS, HOWARD G (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:G
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2801 RICHMOND ROAD
Mailing Address - Street 2:SUITE 362
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503
Mailing Address - Country:US
Mailing Address - Phone:903-293-4216
Mailing Address - Fax:903-614-5617
Practice Address - Street 1:2163 LIMA LOOP APT 07-021
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045
Practice Address - Country:US
Practice Address - Phone:903-293-4216
Practice Address - Fax:903-614-2131
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARN-74042085R0001X
IN01077040Z2085R0001X
TXH40242085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC752268615OtherTRICARE/CHAMPUS
TND11HOtherBLUE CROSS
TX0325987-01Medicaid
AR50979OtherBLUE CROSS
TX00D11HMedicare PIN