Hyde, Homer Clark

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

Contact Information

Primary practice address
4140 W Memorial Rd Suite 422 Oklahoma City OK 73120-8366
Phone: (405) 751-0051
Fax: (405) 751-0051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 8687 Oklahoma

Profile Details

NPI number 1245230705
LBN Legal business name Hyde, Homer Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Aug 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245230705 NPPES
Oklahoma Other 202130641012 BC/BS
Oklahoma MEDICAID 100253200A BC/BS

Popular Providers