Dubois Medical Clinic Pc
LBN: Dubois Medical Clinic Pc
Dubois Medical Clinic Pc is an health care organization with primary practice located at 1117 S Douglas Blvd Ste D, Midwest City OK 73130-5262. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Dubois Medical Clinic Pc can be contacted via phone (405) 741-8686, or through Dubois, Peggy Culver via phone (405) 741-8686.
Contact Information
Primary practice address
1117 S Douglas Blvd Ste D
Midwest City OK 73130-5262
Phone: (405) 741-8686
Fax: (405) 733-9621
Website:
Authorized official contact:
Name: Dubois, Peggy Culver Doctor of Medicine (MD)
Phone: (405) 741-8686
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Oklahoma | |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | Oklahoma |
Profile Details
| NPI number | 1104819762 |
|---|---|
| LBN Legal business name | Dubois Medical Clinic Pc |
| DBA Doing business as | |
| Authorized official | Dubois, Peggy Culver Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104819762 | NPPES |
| Oklahoma | MEDICAID | 100746130A |
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