GENERAL PRACTICE MEDICAL CLINIC, INC.; NPI #1740330596

Contact Information

GENERAL PRACTICE MEDICAL CLINIC, INC.

1012 SOUTH PLAZA
TAHLEQUAH, OK 74464

Phone: 918-207-1400
Fax: 918-207-1401
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for GENERAL PRACTICE MEDICAL CLINIC, INC.

NPI Number 1740330596

LBN Legal business name GENERAL PRACTICE MEDICAL CLINIC, INC.

Authorized official BOBBY DANIEL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/12/2007

Last updated 09/26/2008 - About 18 years ago

Identifiers

License #

OK1843

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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