Spectra Family Medical Clinic Llc

LBN: Spectra Family Medical Clinic Llc
Spectra Family Medical Clinic Llc is an health care organization with primary practice located at 6520 E Reno Suite A, Midwest City OK 73110-2109. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Spectra Family Medical Clinic Llc can be contacted via phone (405) 733-0120, or through Owens, Davondra Love via phone (405) 733-0120.

Contact Information

Primary practice address
6520 E Reno Suite A Midwest City OK 73110-2109
Phone: (405) 733-0120
Fax: (405) 733-7876
Website:
Map and Directions
Authorized official contact:
Name: Owens, Davondra Love
Phone: (405) 733-0120

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 8459 Oklahoma

Profile Details

NPI number 1386812345
LBN Legal business name Spectra Family Medical Clinic Llc
DBA Doing business as
Authorized official Owens, Davondra Love
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Mar 12th, 2013 - about 12 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 1386812345 NPPES
Oklahoma MEDICAID 200131340A

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