Healthcare Provider Details

I. General information

NPI: 1962847681
Provider Name (Legal Business Name): S-CAP FOR WOMEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 S PETERS AVE
NORMAN OK
73069-6034
US

IV. Provider business mailing address

128 S PETERS AVE
NORMAN OK
73069-6034
US

V. Phone/Fax

Practice location:
  • Phone: 405-701-8163
  • Fax: 405-310-3739
Mailing address:
  • Phone: 405-701-8163
  • Fax: 405-310-3739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROCK RICHARDSON
Title or Position: DIRECTOR
Credential:
Phone: 405-701-8138