Provider Demographics
NPI:1265297857
Name:MORNING LARK
Entity type:Organization
Organization Name:MORNING LARK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-238-7777
Mailing Address - Street 1:3200 STECK AVE STE 220A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-8000
Mailing Address - Country:US
Mailing Address - Phone:512-238-7777
Mailing Address - Fax:
Practice Address - Street 1:3200 STECK AVE STE 220A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-8000
Practice Address - Country:US
Practice Address - Phone:512-238-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty