Wilford Victor Morris Jr., D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3382 Issued in TX

Practice address

1411 Highway 90 W
Sealy, TX 77474-3854

Phone

(979) 885-7466

Fax

(979) 885-6922

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilford V Morris Jr DO PA

  dba brazos valley medical clinic

  • Clinic/Center
  • Sealy, TX
  • NPI 1629020458
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306063979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 90 W",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743854",
            "telephone_number": "979-885-7466",
            "fax_number": "979-885-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 90 W",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743854",
            "telephone_number": "979-885-7466",
            "fax_number": "979-885-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "WILFORD",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judi D. McTigue, PTA
• Susan Mercer, OTR
• Tyran Lance Mercer, R.P.A.
• Mid Coast Health System (MidCoast Medical Center - Sealy)
• Matthew John Mielak, PTA
• Charlette Marie Mulhollen
• My Local Texas Dental Practice, PLLC (Sealy Dental)
• Anh Ngoc Nguyen, OD
• Nicole Nicolas
• Olaniran Niran-Oni

• Family Medicine Physician in Sealy, TX
• Providers in Sealy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.