Provider Demographics
NPI:1053334078
Name:MORRIS, KING ERWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:KING
Middle Name:ERWIN
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1102 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-4139
Mailing Address - Country:US
Mailing Address - Phone:918-225-2702
Mailing Address - Fax:918-225-5245
Practice Address - Street 1:1102 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-4139
Practice Address - Country:US
Practice Address - Phone:918-225-2702
Practice Address - Fax:918-225-5245
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK20483208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100217110BMedicaid
OK100217110BMedicaid
248427102Medicare ID - Type Unspecified