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NPI Code Detail

MEDICARE: CLINICA FAMILY HEALTH LLC

MEDICARE: CLINICA FAMILY HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1912783689
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA FAMILY HEALTH LLC
Provider Business Mailing Address
First Line : 4525 S KLEIN AVE STE 1000
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3839
Country : US
Telephone Number : 405-652-4450
Fax Number :
Provider Business Practice Location Address
First Line : 4525 S KLEIN AVE STE 1000
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3839
Country : US
Telephone Number : 405-652-4450
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ABDALLAH HUSSEIN
Credential : MD
Telephone Number : 405-831-1125
Provider Enumeration Date : 09/07/2023
Last Update Date : 09/18/2024

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Directions to “CLINICA FAMILY HEALTH LLC ” Practice Location

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