Morris L Mickelson MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MORRIS L MICKELSON MD PA

Practice address

1111 W Frank Ave Ste 100
Lufkin, TX 75904-3390

Phone

(936) 639-2244

Fax

(936) 634-9334

NPI assigned

Mar 2, 2007

Last updated

Aug 31, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Morris Mickelson, M.D.

Title

President/Physician

Phone

(936) 639-2244

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1174651715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043390",
            "telephone_number": "936-639-2244",
            "fax_number": "936-634-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043390",
            "telephone_number": "936-639-2244",
            "fax_number": "936-634-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS L MICKELSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "936-639-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002ND",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183860901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Moran, MD
• Carmen Ann Moreland
• Colby Moreland, PA
• Angela Elaine Morgan, LPC
• Juanda Carroll Morgan, LPC
• Becky Ann Morris
• Daniel Craig Morris, MSN, APRN, FNP-C
• Kelli Diane Morris, APRN
• Tracy Renee Moss, PT
• MP Imaging, LLC (Superior Sonography)

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.