Southside Medical

LBN: C.V. Moses, D.O. Inc.
Southside Medical is an health care organization with primary practice located at 8222 S. Harvard Ave , Tulsa OK 74136-1613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. C.V. Moses, D.O. Inc. can be contacted via phone (918) 493-3838, or through Moses, Christoper Vincent via phone (918) 493-3838.

Contact Information

Primary practice address
8222 S. Harvard Ave Tulsa OK 74136-1613
Phone: (918) 493-3838
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moses, Christoper Vincent Doctor of Osteopathy (DO)
Phone: (918) 493-3838

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1710139076
LBN Legal business name C.V. Moses, D.O. Inc.
DBA Doing business as Southside Medical
Authorized official Moses, Christoper Vincent Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2008
Last updated Nov 11th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710139076 NPPES
Oklahoma MEDICAID 100023050A

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