Organization
OXFORD PRE OP & IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WALKER BYARS MD (SECRETARY)
(662) 234-4744
Entity
Organization
Contact information
Practice address
1202 OFFICE PARK DR, SUITE B, OXFORD, MS 38655-5267
(662) 234-5545
(662) 234-5589
Mailing address
PO BOX 578, OXFORD, MS 38655-0578
(662) 234-5545
(662) 234-5589
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
36-2-026
MS
291U00000X
Clinical Medical Laboratory
25D2049358
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005001
—
MS
01
—
265886
MEDICARE PTAN
—
Enumeration date
07/10/2012
Last updated
02/05/2014
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