| Housecall Providers Of Oklahoma Llc | |
|
1701 Victoria Dr Edmond OK 73003-3860 | |
| (405) 551-0563 | |
| Not Available |
| Full Name | Housecall Providers Of Oklahoma Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1701 Victoria Dr, Edmond, Oklahoma |
| Authorized Official Name and Position | Oscar D James (CEO) |
| Authorized Official Contact | 4055510563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Providers Of Oklahoma Llc 1701 Victoria Dr Edmond OK 73003-3860 Ph: (405) 551-0563 | Housecall Providers Of Oklahoma Llc 1701 Victoria Dr Edmond OK 73003-3860 Ph: (405) 551-0563 |
| NPI Number | 1285109876 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285109876 | NPI | - | NPPES |
| 200121650A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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