Organization
EVIDENT HEALTH SERVICES, LLC
Active
Other names
EvidentCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES AUSTIN BRYANT IV M.D. (PRESIDENT)
(405) 713-4990
Entity
Organization
Contact information
Practice address
3366 NW EXPRESSWAY, SUITE 520, OKLAHOMA CITY, OK 73112-4444
(405) 713-4990
(405) 713-4992
Mailing address
3366 NW EXPRESSWAY, SUITE 520, OKLAHOMA CITY, OK 73112-4444
(405) 713-4990
(405) 713-4992
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20972
OK
Other
Enumeration date
05/28/2006
Last updated
07/12/2007
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