| Doctor Name: | DR. MATTHEW WILLIAM MORRISSEY |
| NPI Number: | 1235403916 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101254556 |
| Business Practice Address: | 3551 Roger Brooke Drive Mche/md- Jbsa-fort Sam Houston, TX - 78234 |
| Business Phone Number: | 2102925350 |
| Business Fax Number: | 2102923781 |
| Mailing Address: | 3551 Roger Brooke Drive, Mche/md- JBSA-FORT SAM HOUSTON |
| State: | TX |
| Postal Code: | 78234 |
| Phone Number: | 2102925350 |
| Fax Number: | 2102923781 |
| NPI Enumeration Date: | 02/28/2012 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101254556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |