Provider Demographics
NPI:1700061918
Name:MORGAN, CHRISTOPHER D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:D
Last Name:MORGAN
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 1:1800 W UNIVERSITY BLVD
Mailing Address - Street 2:306
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-3006
Mailing Address - Country:US
Mailing Address - Phone:580-931-2263
Mailing Address - Fax:580-920-8050
Practice Address - Street 1:1400 BRYAN DR
Practice Address - Street 2:306
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701
Practice Address - Country:US
Practice Address - Phone:580-931-2263
Practice Address - Fax:580-920-8050
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8853207L00000X
OK28562207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKAAA1554OtherMEDICARE PTAN
OK200345200AMedicaid