# HOMER CLARK HYDE MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174983670
- **Authorized official:** DR. HOMER CLARK HYDE MD (PRESIDENT)
- **Authorized official phone:** (405) 751-0051

## Contact information

- **Practice address:** 4140 W MEMORIAL RD, SUITE 422, OKLAHOMA CITY, OK 73120-8366
- **Practice address phone:** (405) 751-0051
- **Practice address fax:** (405) 751-6902
- **Mailing address:** 12901 RIVER OAKS DR, OKLAHOMA CITY, OK 73142-5163
- **Mailing address phone:** (405) 751-0051
- **Mailing address fax:** (405) 751-6902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 10/18/2016
