Healthcare Provider Details
I. General information
NPI: 1215249891
Provider Name (Legal Business Name): EMERGENCY SERVICES OF OKLAHOMA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2010
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 N PORTER AVE
NORMAN OK
73071-6404
US
IV. Provider business mailing address
5000 HOPYARD ROAD SUITE 100
PLEASANTON CA
94588-3146
US
V. Phone/Fax
- Phone: 925-924-1600
- Fax: 925-924-0506
- Phone: 925-924-1600
- Fax: 925-924-0506
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
R
FRANTZ
JR.
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 658-693-1000