Morris L Mickelson Md Pa

LBN: Morris L Mickelson Md Pa
Morris L Mickelson Md Pa is an health care organization with primary practice located at 1111 W Frank Ave Ste 100 , Lufkin TX 75904-3390. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Morris L Mickelson Md Pa can be contacted via phone (936) 639-2244, or through Mickelson, Morris via phone (936) 639-2244.

Contact Information

Primary practice address
1111 W Frank Ave Ste 100 Lufkin TX 75904-3390
Phone: (936) 639-2244
Fax: (936) 634-9334
Website:
Map and Directions
Authorized official contact:
Name: Mickelson, Morris Doctor of Medicine (MD)
Phone: (936) 639-2244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1174651715
LBN Legal business name Morris L Mickelson Md Pa
DBA Doing business as
Authorized official Mickelson, Morris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 31st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174651715 NPPES
Texas Other 0002ND BCBS
Texas MEDICAID 183860901 BCBS

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