NPIMap

Organization Active NPI

Jerry W Morris PA

  • Family Medicine Physician
  • Southlake, TX
National Provider Identifier
1851342547
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JERRY W MORRIS PA
Practice address
170 Players Cir
Suite 110
Southlake, TX 76092-6942
Phone
(817) 885-9242
NPI assigned
May 15, 2006
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Jerry W Morris, DONPI 1003881590
Title
Owner
Phone
(817) 966-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

170 Players Cir
Suite 110
Southlake, TX 76092-6942

Mailing address

PO Box 96164
Southlake, TX 76092-0126
Phone (817) 885-9242

National Provider Directory

National Provider Directory

Locations

630 E Southlake Blvd
Ste 135
Southlake, TX 76092
Phone (817) 552-3511

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1851342547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96164",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920126",
            "telephone_number": "817-885-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLAYERS CIR",
            "address_2": "SUITE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926942",
            "telephone_number": "817-885-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY W MORRIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-966-5154",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.