Organization
OKC GYN/OB LLC
Active
Parent organization
OKC GYN/OB LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKC GYN/OB LLC
Authorized official
MS. PAM JEAN HODGES (BILLING OFFICE)
(405) 936-1151
Entity
Organization
Contact information
Practice address
11200 N PORTLAND AVE FL 2, OKLAHOMA CITY, OK 73120-5045
(405) 936-1151
(405) 936-1001
Mailing address
11200 N PORTLAND AVE FL 2, OKLAHOMA CITY, OK 73120-5045
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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