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Contact Information

HOMER CLARK HYDE MD, PC
4140 W MEMORIAL RD
SUITE 422
OKLAHOMA CITY, OK73120-8366
 Phone: 405-751-0051
 Fax: 405-751-6902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for HOMER CLARK HYDE MD, PC

NPI # 1174983670
LBN Legal business name HOMER CLARK HYDE MD, PC
Authorized official HOMER HYDE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2016
Last updated 10/18/2016 - About 10 years ago
Identifiers
OK Medicaid 200631400A
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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