Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Mustang Complete Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
SYNOVIA F BAIN (CLIENT ACCOUNT ADMINISTRATOR)
(405) 231-3824
Entity
Organization
Contact information
Practice address
501 N MUSTANG RD, SUITE D, MUSTANG, OK 73064-7048
(405) 376-0376
(405) 376-1233
Mailing address
PO BOX 268852, OKLAHOMA CITY, OK 73126-8852
(405) 376-0376
(405) 376-1233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4315
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094240M
—
OK
Enumeration date
05/15/2007
Last updated
02/02/2009
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