Ada Gynecology & Obstetrics

LBN: Ada Gynecology & Obstetrics
Ada Gynecology & Obstetrics is an health care organization with primary practice located at 1414 Arlington St Ste 1700 , Ada OK 74820-2694. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Ada Gynecology & Obstetrics can be contacted via phone (580) 436-9088, or through Wallace, Jimmy B via phone (580) 436-9088.

Contact Information

Primary practice address
1414 Arlington St Ste 1700 Ada OK 74820-2694
Phone: (580) 436-9088
Fax: (580) 436-0035
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Jimmy B Doctor of Medicine (MD)
Phone: (580) 436-9088

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 8279 Oklahoma

Profile Details

NPI number 1881717544
LBN Legal business name Ada Gynecology & Obstetrics
DBA Doing business as
Authorized official Wallace, Jimmy B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers