Organization
ENID UROLOGY ASSOCIATES, INC
Active
Parent organization
ENID UROLOGY ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENID UROLOGY ASSOCIATES, INC
Authorized official
DR. TROY ALBERT RICHARDS MD (MANAGING/TREATING PHYSICIAN)
(580) 233-3230
Entity
Organization
Contact information
Practice address
609 VIRGINIA AVE, PONCA CITY, OK 74601-2911
(580) 233-3230
(580) 233-0698
Mailing address
615 E OKLAHOMA AVE, STE 202, ENID, OK 73701-5951
(580) 233-3230
(580) 233-0698
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037540A
—
OK
01
—
24087
STATE LICENSE
OK
01
—
32898
OBNDD
OK
Enumeration date
07/15/2011
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us