# ADVANCED FAMILY THERAPEUTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bishopcreek Medical and Counseling Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942298385
- **Authorized official:** MR. GREGORY E SHADID MD (CO OWNER)
- **Authorized official phone:** (405) 579-5858

## Contact information

- **Practice address:** 3280 MARSHALL AVE, NORMAN, OK 73072
- **Practice address phone:** (405) 579-5858
- **Practice address fax:** (405) 292-1787
- **Mailing address:** 3280 MARSHALL AVE, NORMAN, OK 73072-8028
- **Mailing address phone:** (405) 579-5858
- **Mailing address fax:** (405) 292-1787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 09/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200019720A | — | OK |