WILLIAMS MEDICAL GROUP PRACTICE, LLC; NPI #1306660691

Contact Information

WILLIAMS MEDICAL GROUP PRACTICE, LLC

280 TROWER BLVD
MANNFORD, OK 74044

Phone: 405-445-1210
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for WILLIAMS MEDICAL GROUP PRACTICE, LLC

NPI Number	`1306660691`
LBN Legal business name	WILLIAMS MEDICAL GROUP PRACTICE, LLC
Authorized official	GRANT ASAY - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/13/2024
Last updated	11/13/2024 - More than a year 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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