Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Saints Family Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
KATY BAIN (CLIENT ACCOUNT ADMINISTRATOR)
(405) 231-3817
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 1100, OKLAHOMA CITY, OK 73102-1068
(405) 231-3000
(405) 231-3073
Mailing address
PO BOX 268824, OKLAHOMA CITY, OK 73126-8824
(405) 231-3000
(405) 231-3073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094240Q
—
OK
Enumeration date
01/29/2007
Last updated
02/11/2010
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