Organization
ENID EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON M.D. (LLP MANAGING PARTNER)
(800) 253-5358
Entity
Organization
Contact information
Practice address
305 S FIFTH STREET, ENID, OK 73701-5832
(580) 233-6100
(580) 249-3982
Mailing address
PO BOX 842038, DALLAS, TX 75284-2038
(800) 701-3381
(239) 939-1682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075000A
—
OK
Enumeration date
07/17/2006
Last updated
07/18/2008
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