Individual
DR. MARK STEVEN FIXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-1594
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12889
OK
207RP1001X
Pulmonary Disease Physician
Primary
12889
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195850A
—
OK
01
—
P00169319
RAILROAD MEDICARE
OK
Enumeration date
10/04/2005
Last updated
11/09/2020
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