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Organization
OHH PHYSICIANS SOUTH, LLC
Active
Organization
OHH PHYSICIANS SOUTH, LLC
Active
Other names
OHH Physicians South, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLAKULAK (CFO)
(405) 608-3800
Entity
Organization
Contact information
Practice address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 628-6000
Mailing address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 628-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
05/08/2012
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