Clinical Urology, Inc

LBN: Clinical Urology, Inc
Clinical Urology, Inc is an health care organization with primary practice located at 4200 S. Douglas Ave. Ste. 300, Oklahoma City OK 73109. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Clinical Urology, Inc can be contacted via phone (405) 634-7727, or through Mosca, Philip via phone (405) 634-7727.

Contact Information

Primary practice address
4200 S. Douglas Ave. Ste. 300 Oklahoma City OK 73109
Fax: (405) 634-7844
Website:
Authorized official contact:
Name: Mosca, Philip Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Specialist 174400000X 11232 Oklahoma

Profile Details

NPI number 1346320652
LBN Legal business name Clinical Urology, Inc
DBA Doing business as
Authorized official Mosca, Philip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 21st, 2011 - about 14 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 1346320652 NPPES
Oklahoma MEDICAID 200051540A

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