Organization
HOMER CLARK HYDE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMER CLARK HYDE MD (PRESIDENT)
(405) 751-0051
Entity
Organization
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 422, OKLAHOMA CITY, OK 73120-8366
(405) 751-0051
(405) 751-6902
Mailing address
12901 RIVER OAKS DR, OKLAHOMA CITY, OK 73142-5163
(405) 751-0051
(405) 751-6902
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200631400A
—
OK
Enumeration date
02/26/2016
Last updated
10/18/2016
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