Individual
HOMER CLARK HYDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 422, OKLAHOMA CITY, OK 73120-8366
(405) 751-0051
(405) 751-0051
Mailing address
4140 W MEMORIAL RD, SUITE 422, OKLAHOMA CITY, OK 73120-8366
(405) 751-0051
(405) 751-0051
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
8687
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253200A
—
OK
01
—
202130641012
BC/BS
OK
Enumeration date
07/27/2005
Last updated
08/20/2015
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