Healthcare Provider Details
I. General information
NPI: 1518176569
Provider Name (Legal Business Name): WOMENS CLINIC OF OKLAHOMA CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2007
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 NW 10TH STREET
OKLAHOMA CITY OK
73103-3901
US
IV. Provider business mailing address
231 NW 10TH STREET
OKLAHOMA CITY OK
73103-3901
US
V. Phone/Fax
- Phone: 405-235-5331
- Fax: 405-235-0825
- Phone: 405-235-5331
- Fax: 405-235-0825
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 8559 |
| License Number State | OK |
VIII. Authorized Official
Name: DR.
FRANCIS
LEE
PERRY
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 405-235-5331