Healthcare Provider Details

I. General information

NPI: 1831734425
Provider Name (Legal Business Name): MORNINGBELLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CENTRAL EXPY N
ALLEN TX
75013-6103
US

IV. Provider business mailing address

9100 NATHANIEL DR
AUBREY TX
76227-1711
US

V. Phone/Fax

Practice location:
  • Phone: 918-955-5087
  • Fax:
Mailing address:
  • Phone: 918-955-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: BRITTANI BELL
Title or Position: OWNER
Credential: CST, CSFA
Phone: 918-955-5087