Healthcare Provider Details

I. General information

NPI: 1518139559
Provider Name (Legal Business Name): OCA TRICITY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NW 32ND
NEWCASTLE OK
73065
US

IV. Provider business mailing address

1000 NW 32ND
NEWCASTLE OK
73065
US

V. Phone/Fax

Practice location:
  • Phone: 405-387-9325
  • Fax: 405-387-9355
Mailing address:
  • Phone: 405-387-9325
  • Fax: 405-387-9355

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: DR. DARRIN L WEBSTER
Title or Position: OWNER
Credential: DO
Phone: 405-387-9325