| Today Clinic Central Okc Llc | |
|
701 Ne 36th St Oklahoma City OK 73105-7203 | |
| (405) 631-0611 | |
| Not Available |
| Full Name | Today Clinic Central Okc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Ne 36th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brett Cauthen (MEMBER) |
| Authorized Official Contact | 4056310611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Today Clinic Central Okc Llc 701 Ne 36th St Oklahoma City OK 73105-7203 Ph: () - | Today Clinic Central Okc Llc 701 Ne 36th St Oklahoma City OK 73105-7203 Ph: (405) 631-0611 |
| NPI Number | 1770058133 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 8628310992 |
|---|---|
| Medicare Enrollment ID | O20190507001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770058133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Richard Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811127269 PECOS PAC ID: 2365624798 Enrollment ID: I20110307000721 |
| Provider Name | Darrel R Arthurs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376523530 PECOS PAC ID: 2668650714 Enrollment ID: I20110621000186 |
| Provider Name | Stanley Eugene Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141747 PECOS PAC ID: 6204262249 Enrollment ID: I20200211000525 |
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