Organization
DEACONESS FAMILY CARE WEST HEFNER
Active
Other names
Deaconess Family Care West Hefner
Organization subpart
No
Provider details
NPI number
Authorized official
WADDAH N. NASSAR MD (OWNER)
(405) 470-6900
Entity
Organization
Contact information
Practice address
7221 W HEFNER RD, OKLAHOMA CITY, OK 73162-4505
(405) 470-6900
(405) 470-6900
Mailing address
7221 W HEFNER RD, OKLAHOMA CITY, OK 73162-4505
(405) 470-6900
(405) 470-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0276256-001
BC/BC GROUP #
OK
05
—
200017560A
—
OK
Enumeration date
08/29/2006
Last updated
03/07/2012
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