Organization
MY FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW T. BILLINGSLEY MD (MEDICAL DIRECTOR)
(704) 456-5557
Entity
Organization
Contact information
Practice address
3717 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3401
(678) 294-9938
Mailing address
PO BOX 18228, OKLAHOMA CITY, OK 73154-0228
(678) 294-9938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31108
OK
Other
Enumeration date
08/10/2015
Last updated
08/11/2015
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