Provider Demographics
NPI:1215399803
Name:MORFIT MEDICAL PLLC
Entity Type:Organization
Organization Name:MORFIT MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CASTEL
Authorized Official - Middle Name:ALANIZ
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-710-7422
Mailing Address - Street 1:2721 CLERMONT PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-4204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2908 VIA ESPERANZA
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8934
Practice Address - Country:US
Practice Address - Phone:405-696-0499
Practice Address - Fax:405-696-0498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORFIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-23
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty