| Oklahoma Medical Clinic Llc | |
|
10317 Greenbriar Pkwy Oklahoma City OK 73159-7648 | |
| (405) 378-3400 | |
| (186) 632-3795 |
| Full Name | Oklahoma Medical Clinic Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 10317 Greenbriar Pkwy, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tracy Ellis (MEMBER) |
| Authorized Official Contact | 4056647622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Medical Clinic Llc 10317 Greenbriar Pkwy Oklahoma City OK 73159-7648 Ph: (405) 378-3400 | Oklahoma Medical Clinic Llc 10317 Greenbriar Pkwy Oklahoma City OK 73159-7648 Ph: (405) 378-3400 |
| NPI Number | 1629489612 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 04/23/2018 |
| Medicare PECOS PAC ID | 2062735301 |
|---|---|
| Medicare Enrollment ID | O20141218000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629489612 | NPI | - | NPPES |
| 7663770001 | Other | TX | MEDICARE DME |
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