Active NPI
Morning Star Healthcare Services PA
- Primary Care Clinic/Center
- Dallas, TX
National Provider Identifier
1417250556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- L5497
- Legal business name
- MORNING STAR HEALTHCARE SERVICES PA
- Practice address
- 13615 Neutron Rd
Dallas, TX 75244-4411 - Phone
- (972) 829-0098
- Fax
- (972) 436-0145
- NPI assigned
- Dec 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olawole Oluwole, MD
- Title
- President
- Phone
- (972) 829-0098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | L5497 | TX | Primary |
Addresses
Primary practice location
13615 Neutron Rd
Dallas, TX 75244-4411
Mailing address
13615 Neutron Rd
Dallas, TX 75244-4411
Phone (972) 829-0098
National Provider Directory
National Provider DirectoryLocations
13614 Gamma Rd
#100
Dallas, TX 75244
Phone (469) 464-2296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292112000000",
"number": "1417250556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 NEUTRON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444411",
"telephone_number": "972-829-0098",
"fax_number": "972-436-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13615 NEUTRON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444411",
"telephone_number": "972-829-0098",
"fax_number": "972-436-0145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR HEALTHCARE SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-12",
"last_updated": "2010-12-12",
"status": "A",
"authorized_official_last_name": "OLUWOLE",
"authorized_official_first_name": "OLAWOLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-829-0098",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "L5497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.