Carissa Candler, Md

LBN: Carrissa Candler Md Pllc
Carissa Candler, Md is an health care organization with primary practice located at 120 N Bryant Ave Ste A6 , Edmond OK 73034-6300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Carrissa Candler Md Pllc can be contacted via phone (405) 936-0504, or through Candler, Carrissa via phone (405) 936-0504.

Contact Information

Primary practice address
120 N Bryant Ave Ste A6 Edmond OK 73034-6300
Phone: (405) 936-0504
Fax: (405) 936-0561
Website:
Map and Directions
Authorized official contact:
Name: Candler, Carrissa Doctor of Medicine (MD)
Phone: (405) 936-0504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 20774 Oklahoma

Profile Details

NPI number 1588912034
LBN Legal business name Carrissa Candler Md Pllc
DBA Doing business as Carissa Candler, Md
Authorized official Candler, Carrissa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2012
Last updated Aug 15th, 2012 - about 13 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 1588912034 NPPES
Oklahoma MEDICAID 200166550A

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