Organization
PARADIGM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHRYN MACHADO A.R.N.P. (OWNER)
(405) 303-4186
Entity
Organization
Contact information
Practice address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 303-4186
(405) 303-4158
Mailing address
PO BOX 1151, SEMINOLE, OK 74818-1151
(405) 303-4186
(405) 303-4158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24484
OK
207Q00000X
Family Medicine Physician
3631
OK
208600000X
Surgery Physician
3189
OK
208D00000X
General Practice Physician
2750
OK
363LF0000X
Family Nurse Practitioner
Primary
R0073365
OK
Other
Enumeration date
10/07/2008
Last updated
12/02/2009
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