Mid-Del Family Physicians, Llc

LBN: Mid-Del Family Physicians, Llc
Mid-Del Family Physicians, Llc is an health care organization with primary practice located at 1212 S Douglas Blvd , Midwest City OK 73130-5246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mid-Del Family Physicians, Llc can be contacted via phone (405) 736-6811, or through Moser, Timothy J via phone (405) 736-6811.

Contact Information

Primary practice address
1212 S Douglas Blvd Midwest City OK 73130-5246
Phone: (405) 736-6811
Fax: (405) 736-6863
Website:
Map and Directions
Authorized official contact:
Name: Moser, Timothy J Doctor of Osteopathy (DO)
Phone: (405) 736-6811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1083756548
LBN Legal business name Mid-Del Family Physicians, Llc
DBA Doing business as
Authorized official Moser, Timothy J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated May 13th, 2010 - 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 1083756548 NPPES
Oklahoma MEDICAID 200030280A

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