Provider Demographics
NPI:1689678195
Name:MORALES, OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 BROOKWOOD AVE
Mailing Address - Street 2:STE B
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1356
Mailing Address - Country:US
Mailing Address - Phone:580-252-0553
Mailing Address - Fax:580-255-0504
Practice Address - Street 1:1509 BROOKWOOD AVE
Practice Address - Street 2:STE B
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1356
Practice Address - Country:US
Practice Address - Phone:580-252-0553
Practice Address - Fax:580-255-0504
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100195160AMedicaid
OK1235269739OtherNPI-CORP MD.PC
OK1235269739OtherNPI-CORP MD.PC
OK100195160AMedicaid