Healthcare Provider Details

I. General information

NPI: 1063754299
Provider Name (Legal Business Name): OXFORD MEDICAL LEASING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 JEFFERSON DAVIS DR
OXFORD MS
38655-5221
US

IV. Provider business mailing address

2209 JEFFERSON DAVIS DR
OXFORD MS
38655-5221
US

V. Phone/Fax

Practice location:
  • Phone: 662-281-1115
  • Fax: 662-281-1113
Mailing address:
  • Phone: 662-281-1115
  • Fax: 662-281-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number192853
License Number StateMS

VIII. Authorized Official

Name: DR. MARK H STRONG
Title or Position: OFFICIAL
Credential: M.D.
Phone: 662-281-1115