Morales, Angel Javier

Morales, Angel Javier is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Morales, Angel Javier can be contacted via phone (918) 458-3100.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax: (918) 458-3279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18703 Oklahoma

Profile Details

NPI number 1295755304
LBN Legal business name Morales, Angel Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295755304 NPPES
Oklahoma MEDICAID 100700620L

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