# HERITAGE PARK MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1326122706
- **Authorized official:** MRS. LORI K DANKER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (405) 737-1242

## Contact information

- **Practice address:** 6908 E RENO AVE, MIDWEST CITY, OK 73110-2128
- **Practice address phone:** (405) 737-6871
- **Practice address fax:** (405) 737-7700
- **Mailing address:** PO BOX 25016, OKLAHOMA CITY, OK 73125-0016
- **Mailing address phone:** (405) 737-6871
- **Mailing address fax:** (405) 737-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/24/2008