Homer Clark Hyde Md, Pc

LBN: Homer Clark Hyde Md, Pc
Homer Clark Hyde Md, Pc is an health care organization with primary practice located at 4140 W Memorial Rd Suite 422, Oklahoma City OK 73120-8366. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Homer Clark Hyde Md, Pc can be contacted via phone (405) 751-0051, or through Hyde, Homer Clark via phone (405) 751-0051.

Contact Information

Primary practice address
4140 W Memorial Rd Suite 422 Oklahoma City OK 73120-8366
Fax: (405) 751-6902
Website:
Authorized official contact:
Name: Hyde, Homer Clark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1174983670
LBN Legal business name Homer Clark Hyde Md, Pc
DBA Doing business as
Authorized official Hyde, Homer Clark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Oct 18th, 2016 - about 8 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 1174983670 NPPES
Oklahoma MEDICAID 200631400A

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