Healthcare Provider Details

I. General information

NPI: 1669709200
Provider Name (Legal Business Name): CMBS BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 W 9TH ST
TULSA OK
74127-9020
US

IV. Provider business mailing address

9301 S WESTERN AVE
OKLAHOMA CITY OK
73139-2728
US

V. Phone/Fax

Practice location:
  • Phone: 918-599-1000
  • Fax:
Mailing address:
  • Phone: 405-419-8000
  • Fax: 405-419-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRYAN VINYARD
Title or Position: PRESIDENT
Credential:
Phone: 405-419-8000