Morris L Mickelson MD PA

NPI #1174651715 in Lufkin, Texas

Provider Information

NPI Number: 1174651715
Entity Type: Organization
Organization Name: Morris L Mickelson MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 2, 2007
Last Updated: Aug 31, 2017

Practice Location

Address: 1111 W FRANK AVE STE 100
City: Lufkin
State: Texas
ZIP Code: 75904-3390
Phone: (936) 639-2244

Authorized Official

Name: DR. MORRIS MICKELSON, M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (936) 639-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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