Provider Demographics
NPI:1255534335
Name:MORRIS, CARRIE PHELPS (MD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:PHELPS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W COLLEGE ST
Mailing Address - Street 2:STE 540
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3580
Mailing Address - Country:US
Mailing Address - Phone:817-481-5863
Mailing Address - Fax:817-329-8561
Practice Address - Street 1:1600 W COLLEGE ST
Practice Address - Street 2:STE 540
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3580
Practice Address - Country:US
Practice Address - Phone:817-481-5863
Practice Address - Fax:817-329-8561
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6301207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology