# SOONER MEDICAL MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST CITY HMA PHYSICIAN MANAGEMENT, INC.
- **Other names:** Renaissance Physicians of Midwest City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912187683
- **Legal business name:** MIDWEST CITY HMA PHYSICIAN MANAGEMENT, INC.
- **Authorized official:** MS. LORI DANKER (DIRECTOR)
- **Authorized official phone:** (405) 741-0047

## Contact information

- **Practice address:** 1800 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6224
- **Practice address phone:** (405) 733-4985
- **Practice address fax:** (405) 737-4041
- **Mailing address:** 1800 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6224
- **Mailing address phone:** (405) 733-4985
- **Mailing address fax:** (405) 737-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007
