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Contact Information

WILDINE BURGESS
623 W MAIN ST # 1032
OKLAHOMA CITY, OK73102-2221
 Phone: 405-417-7801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Behavior Technician

106S00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1326709718
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/06/2022
Last updated 03/21/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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