Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Mustang
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
201 S SARA ROAD, SUITE 200, MUSTANG, OK 73064-4562
(405) 578-3250
(405) 578-3299
Mailing address
201 S SARA ROAD, SUITE 200, MUSTANG, OK 73064-4562
(405) 578-3250
(405) 578-3299
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
11/24/2014
Last updated
03/25/2019
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