| Tricity Family Clinic | |
|
300 By Pass Rd Newcastle OK 73065-6392 | |
| (405) 387-4546 | |
| (405) 321-8081 |
| Full Name | Tricity Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 300 By Pass Rd, Newcastle, Oklahoma |
| Authorized Official Name and Position | Wesley Edward Pope (PRESIDENT) |
| Authorized Official Contact | 4053874546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricity Family Clinic Po Box 892398 Oklahoma City OK 73189-2398 Ph: (405) 387-4546 | Tricity Family Clinic 300 By Pass Rd Newcastle OK 73065-6392 Ph: (405) 387-4546 |
| NPI Number | 1558343640 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558343640 | NPI | - | NPPES |
| 100748470A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17440 (Oklahoma) | Primary |
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