Provider Demographics
NPI:1033420138
Name:US MORNINGSTAR LLC
Entity Type:Organization
Organization Name:US MORNINGSTAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-956-1114
Mailing Address - Street 1:102 W EUFAULA ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5619
Mailing Address - Country:US
Mailing Address - Phone:866-956-1114
Mailing Address - Fax:
Practice Address - Street 1:102 W EUFAULA ST
Practice Address - Street 2:SUITE G
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5619
Practice Address - Country:US
Practice Address - Phone:866-956-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3218207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty