Organization
TPG HOSPITAL LLC
Active
Other names
Northwest Surgical Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DANNA (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3890
Entity
Organization
Contact information
Practice address
9204 N MAY AVE, OKLAHOMA CITY, OK 73120-4419
(405) 848-1918
(405) 848-7537
Mailing address
9204 N MAY AVE, OKLAHOMA CITY, OK 73120-4419
(405) 848-1918
(405) 848-7537
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035670B
—
OK
01
—
DE5636
RAILROAD MEDICARE#
OK
Enumeration date
01/31/2008
Last updated
11/02/2020
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