Healthcare Provider Details

I. General information

NPI: 1063927408
Provider Name (Legal Business Name): CLASSEN FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 SW 4TH ST
MOORE OK
73160-2404
US

IV. Provider business mailing address

2818 CLASSEN BLVD
NORMAN OK
73071-4059
US

V. Phone/Fax

Practice location:
  • Phone: 405-378-2001
  • Fax: 405-445-7660
Mailing address:
  • Phone: 405-701-3563
  • Fax: 405-310-5194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HUSSEIN TORBATI
Title or Position: MANAGING MEMBER
Credential:
Phone: 405-701-7111