Provider Demographics
NPI:1255742482
Name:MARK A. MORRIS POINT OF CARE ULTRASOUND IMAGING LLC
Entity type:Organization
Organization Name:MARK A. MORRIS POINT OF CARE ULTRASOUND IMAGING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS (AB-OB), RVT
Authorized Official - Phone:940-368-0220
Mailing Address - Street 1:624 W UNIVERSITY DR
Mailing Address - Street 2:STE B #337
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1889
Mailing Address - Country:US
Mailing Address - Phone:940-368-0220
Mailing Address - Fax:
Practice Address - Street 1:624 W UNIVERSITY DR
Practice Address - Street 2:STE B #337
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1889
Practice Address - Country:US
Practice Address - Phone:940-368-0220
Practice Address - Fax:940-222-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085U0001X
TX427712471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty