| Obria Medical Clinic | |
|
1807 W Lindsey St Norman OK 73069-4101 | |
| (405) 579-4773 | |
| (405) 579-4413 |
| Full Name | Obria Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1807 W Lindsey St, Norman, Oklahoma |
| Authorized Official Name and Position | Linda Cozadd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4055794673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Obria Medical Clinic Po Box 669 Norman OK 73070-0669 Ph: (405) 579-4673 | Obria Medical Clinic 1807 W Lindsey St Norman OK 73069-4101 Ph: (405) 579-4773 |
| NPI Number | 1437660446 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 1052649027 |
|---|---|
| Medicare Enrollment ID | O20190829000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437660446 | NPI | - | NPPES |
| Provider Name | Jeffrey D Hodgden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548297617 PECOS PAC ID: 6901806967 Enrollment ID: I20061222000244 |
| Provider Name | Mary M Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831574 PECOS PAC ID: 8921323429 Enrollment ID: I20150204000445 |
| Provider Name | Maggie Joy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483920 PECOS PAC ID: 6305134602 Enrollment ID: I20180803002481 |
| Provider Name | Shanda Lynn Gower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408394 PECOS PAC ID: 0345673158 Enrollment ID: I20191210001053 |
| Provider Name | Jordan Dale Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922691807 PECOS PAC ID: 9234529256 Enrollment ID: I20211207000957 |
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