Abundant Life Family Medicine

LBN: R & L Ortega Pllc
Abundant Life Family Medicine is an health care organization with primary practice located at 520 N Monte Vista St Suite A, Ada OK 74820-4674. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. R & L Ortega Pllc can be contacted via phone (580) 272-0922, or through Ortega, Leandrita Flores via phone (580) 272-0922.

Contact Information

Primary practice address
520 N Monte Vista St Suite A Ada OK 74820-4674
Fax: (580) 272-0811
Website:
Authorized official contact:
Name: Ortega, Leandrita Flores Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 23586 Oklahoma

Profile Details

NPI number 1770609042
LBN Legal business name R & L Ortega Pllc
DBA Doing business as Abundant Life Family Medicine
Authorized official Ortega, Leandrita Flores Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 1st, 2013 - about 11 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 1770609042 NPPES
Oklahoma MEDICAID 200102180A

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