Provider Demographics
NPI:1902897556
Name:MORNINGSTAR EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:MORNINGSTAR EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-378-2197
Mailing Address - Street 1:26 SW 104TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9040
Mailing Address - Country:US
Mailing Address - Phone:405-378-2197
Mailing Address - Fax:405-378-2196
Practice Address - Street 1:26 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9040
Practice Address - Country:US
Practice Address - Phone:405-378-2197
Practice Address - Fax:405-378-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKCN3548OtherRAILROAD MEDICARE
OK=========Medicare ID - Type Unspecified