Organization
TIM R. LOVE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM R. LOVE M.D. (PRESIDENT)
(405) 751-5683
Entity
Organization
Contact information
Practice address
11101 HEFNER POINTE DR STE 104, OKLAHOMA CITY, OK 73120-5054
(405) 751-5683
(405) 751-9500
Mailing address
11101 HEFNER POINTE DR STE 104, OKLAHOMA CITY, OK 73120-5054
(405) 751-5683
(405) 751-9500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14771
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446545991002
BCBS
OK
Enumeration date
02/13/2008
Last updated
07/24/2008
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