Individual
CAROL LE HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3715
(405) 936-5058
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3715
(405) 936-5058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2163
OK
363A00000X
Physician Assistant
PA05959
TX
Other
Enumeration date
08/20/2008
Last updated
01/02/2025
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