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Organization

PHYSICIAN HOUSECALLS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY ROSS (SOLE MANAGING MEMBER)
(405) 896-8058
Entity
Organization

Contact information

Practice address
101 W HEFNER RD, OKLAHOMA CITY, OK 73114-6631
(405) 896-8058
(855) 223-1999
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
(855) 223-1999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
333938
MEDICARE PTAN
OK
Enumeration date
01/06/2014
Last updated
09/14/2025
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