# SUNNYLANE FAMILY MEDICAL CLINIC INC.

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

## Provider details

- **NPI number:** 1700989472
- **Authorized official:** THOMAS J CARLILE D.O. (DR.)
- **Authorized official phone:** (405) 677-3378

## Contact information

- **Practice address:** 3916 S SUNNYLANE RD, 3916 SUNNYLANE RD., DEL CITY, OK 73115-3656
- **Practice address phone:** (405) 677-3378
- **Practice address fax:** (405) 677-3950
- **Mailing address:** 3916 S SUNNYLANE RD, DEL CITY, OK 73115-3656
- **Mailing address phone:** (405) 677-3378
- **Mailing address fax:** (405) 677-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1522 | OK | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 06/21/2018