Organization
OKLAHOMA EM - 1 MEDICAL SERVICES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERGORY J BYRNE (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 376-8100
(405) 878-8101
Mailing address
1717 MAIN ST, DALLAS, TX 75201-4612
(214) 712-2448
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/24/2010
Last updated
11/29/2021
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