# DURANT HMA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCSO Physician Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427277268
- **Authorized official:** TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 598-3176

## Contact information

- **Practice address:** 1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
- **Practice address phone:** (580) 924-3080
- **Mailing address:** 1800 W UNIVERSITY BLVD, PO BOX 1207, DURANT, OK 74701-3006
- **Mailing address phone:** (580) 924-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000370014-880 | BC BS OKLAHOMA | OK |
| 05 | — | 1006966610D | — | OK |