Mcclure & Associates Psychiatry Pllc | |
6135 S 90th East Ave Tulsa OK 74133-6365 | |
(918) 845-8897 | |
Not Available |
Full Name | Mcclure & Associates Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 6135 S 90th East Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Bradley Allen Mcclure (CEO) |
Authorized Official Contact | 5393671145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcclure & Associates Psychiatry Pllc 6135 S 90th East Ave Tulsa OK 74133-6365 Ph: (539) 367-1145 | Mcclure & Associates Psychiatry Pllc 6135 S 90th East Ave Tulsa OK 74133-6365 Ph: (918) 845-8897 |
NPI Number | 1528847100 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 04/04/2024 |
Certification Date | 04/04/2024 |
Medicare PECOS PAC ID | 6406297415 |
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Medicare Enrollment ID | O20240508002083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528847100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Bradley A Mcclure |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790755916 PECOS PAC ID: 2365478104 Enrollment ID: I20050823000045 |
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