Healthcare Provider Details

I. General information

NPI: 1629614011
Provider Name (Legal Business Name): JEFFREY R. MORRIS, D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 E 81ST ST STE B
TULSA OK
74137-2101
US

IV. Provider business mailing address

4916 E 92ND ST
TULSA OK
74137-4020
US

V. Phone/Fax

Practice location:
  • Phone: 918-583-4400
  • Fax: 918-583-7908
Mailing address:
  • Phone: 918-488-8987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY RILEY MORRIS
Title or Position: PRESIDENT
Credential: DO
Phone: 918-625-2312