Organization
SHEPHERD'S PLACE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEBIN THOMAS PA-C (OWNER)
(405) 414-9139
Entity
Organization
Contact information
Practice address
2316 NW 23RD ST, ST. B, OKLAHOMA CITY, OK 73107-2406
(405) 525-3330
Mailing address
2316 NW 23RD ST, ST. B, OKLAHOMA CITY, OK 73107-2406
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
02/19/2013
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