Deer Oaks Med Management Associates Llc | |
5725 S Ross Ave Oklahoma City OK 73119-5650 | |
(888) 365-6271 | |
Not Available |
Full Name | Deer Oaks Med Management Associates Llc |
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Speciality | Psychiatry & Neurology |
Location | 5725 S Ross Ave, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Paul A Boskind (CEO - OWNER) |
Authorized Official Contact | 2106153483 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deer Oaks Med Management Associates Llc 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (210) 615-3483 | Deer Oaks Med Management Associates Llc 5725 S Ross Ave Oklahoma City OK 73119-5650 Ph: (888) 365-6271 |
NPI Number | 1174275234 |
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Provider Enumeration Date | 01/20/2022 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Medicare PECOS PAC ID | 0648663583 |
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Medicare Enrollment ID | O20220217000065 |
Identifier | Type | State | Issuer |
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1174275234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jeffrey Martindale |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568589422 PECOS PAC ID: 1759674708 Enrollment ID: I20160728000326 |
Provider Name | Audra Yadack |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851611602 PECOS PAC ID: 6800177999 Enrollment ID: I20170104000455 |
Provider Name | Aaron Brown |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1023455649 PECOS PAC ID: 5193952968 Enrollment ID: I20220426001994 |
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