| |
9402 N May Ave, Oklahoma City, OK 73120-2701 | |
(405) 755-8000 | |
(405) 755-8001 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 9402 N May Ave, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972700953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3468 (Oklahoma) | Secondary |
111N00000X | Chiropractor | 8074 (Texas) | Secondary |
207Q00000X | Family Medicine | 19088 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
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Po Box 20609, Oklahoma City, OK 73156-0609 Ph: (405) 755-8000 | 9402 N May Ave, Oklahoma City, OK 73120-2701 Ph: (405) 755-8000 |