Provider Demographics
NPI:1144060203
Name:MORTON MEDICAL AND MENTAL HEALTH GROUP
Entity type:Organization
Organization Name:MORTON MEDICAL AND MENTAL HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-279-9248
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:OK
Mailing Address - Zip Code:74872-0529
Mailing Address - Country:US
Mailing Address - Phone:580-759-0022
Mailing Address - Fax:
Practice Address - Street 1:120 N FORREST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:OK
Practice Address - Zip Code:74872-4652
Practice Address - Country:US
Practice Address - Phone:580-759-0022
Practice Address - Fax:580-759-2177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty