Organization
OHH RURAL CLINICS, LLC.
Active
Parent organization
OKLAHOMA HEART HOSPITAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA HEART HOSPITAL, LLC
Authorized official
TIARA BROYLES (CONTRACTING COORDINATOR)
(405) 972-7239
Entity
Organization
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(405) 608-3800
(405) 608-3838
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
(405) 972-7239
(405) 753-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OK
207RC0000X
Cardiovascular Disease Physician
—
OK
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
OK
207RI0011X
Interventional Cardiology Physician
—
OK
207RP1001X
Pulmonary Disease Physician
—
OK
207UN0901X
Nuclear Cardiology Physician
—
OK
208600000X
Surgery Physician
—
OK
2086S0129X
Vascular Surgery Physician
—
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
OK
Other
Enumeration date
05/21/2010
Last updated
09/27/2019
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