Healthcare Provider Details

I. General information

NPI: 1811022593
Provider Name (Legal Business Name): ALLIED PHYSICIAN'S GROUP INC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S AIR DEPOT BLVD STE P
MIDWEST CITY OK
73110-4866
US

IV. Provider business mailing address

6820 NW 23RD
BETHANY OK
73008-5217
US

V. Phone/Fax

Practice location:
  • Phone: 405-495-5154
  • Fax:
Mailing address:
  • Phone: 405-495-5154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAMIE A BILLINGSLEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-495-5154