| Shepherd's Place Clinic Llc | |
|
2316 Nw 23rd St Oklahoma City OK 73107-2406 | |
| (405) 605-3395 | |
| (405) 605-3673 |
| Full Name | Shepherd's Place Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2316 Nw 23rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mebin Thomas (MANAGER) |
| Authorized Official Contact | 4054149139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd's Place Clinic Llc 2316 Nw 23rd St Oklahoma City OK 73107-2406 Ph: (405) 605-3395 | Shepherd's Place Clinic Llc 2316 Nw 23rd St Oklahoma City OK 73107-2406 Ph: (405) 605-3395 |
| NPI Number | 1780025858 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780025858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17859 (Oklahoma) | Primary |
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