MEDICARE: DR. OSCAR MORALES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20994	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1235269739	OTHER	OK	NPI-CORP MD.PC

General Provider Information

NPI Number	:	1689678195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR MORALES M.D.

Provider Business Mailing Address
First Line	:	1509 BROOKWOOD AVE
Second Line	:	STE B
City	:	DUNCAN
State	:	OK
Zip	:	73533-1356
Country	:	US
Telephone Number	:	580-252-0553
Fax Number	:	580-255-0504

Provider Business Practice Location Address
First Line	:	1509 BROOKWOOD AVE
Second Line	:	STE B
City	:	DUNCAN
State	:	OK
Zip	:	73533-1356
Country	:	US
Telephone Number	:	580-252-0553
Fax Number	:	580-255-0504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/07/2008

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