Basic Information
| Provider Information | |||||||||
| NPI: | 1043932486 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITALIST MEDICINE PHYSICIANS OF OKLAHOMA TCS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 BRENTWOOD COMMONS WAY STE 510 | ||||||||
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| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370272028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153771674 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5602 SW LEE BLVD | ||||||||
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| City: | LAWTON | ||||||||
| State: | OK | ||||||||
| PostalCode: | 735059635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5805314700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2022 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| AuthorizedOfficialLastName: | HARLAN | ||||||||
| AuthorizedOfficialFirstName: | MELISSA | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF PE | ||||||||
| AuthorizedOfficialTelephone: | 6155776340 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.