Doctor Name: | THOMAS R. MORRILL |
NPI Number: | 1659304327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | H2620 |
Business Practice Address: | 4125 Broadway Blvd Ste 120c Garland, TX - 750432500 |
Business Phone Number: | 9723030861 |
Business Fax Number: | |
Mailing Address: | 4125 Broadway Blvd Ste 120c, GARLAND |
State: | TX |
Postal Code: | 750432500 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 06/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H2620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |