Provider Demographics
NPI:1871772491
Name:KAY MORRIS, MD, PA
Entity type:Organization
Organization Name:KAY MORRIS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-646-6700
Mailing Address - Street 1:12315 JUDSON RD STE 318
Mailing Address - Street 2:THE VILLAGE AT LIVE OAK
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3265
Mailing Address - Country:US
Mailing Address - Phone:210-646-6700
Mailing Address - Fax:210-646-6705
Practice Address - Street 1:12315 JUDSON RD STE 318
Practice Address - Street 2:THE VILLAGE AT LIVE OAK
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3265
Practice Address - Country:US
Practice Address - Phone:210-646-6700
Practice Address - Fax:210-646-6705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3250207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1578591343OtherNPI
TX00PR06OtherBCBS
TXF3250OtherLICENSE
TXC19618Medicare UPIN
TX00195XMedicare PIN