Tyson Quy, M.D., INC.
Family Medicine in Midwest City, OK. Organization (NPI-2).
NPI number1497012017
StatusActive
Last updated in NPPESOct 31, 2015
Details
- NPI
- 1497012017
- Entity type
- Organization (NPI-2)
- Legal business name
- Tyson Quy, M.D., INC.
- Organization subpart
- No
- Enumeration date
- Apr 19, 2012
- Last updated
- Oct 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25749 | OK | Yes |
Other names
- Air Depot Family Medicine (Doing Business As)
Practice location
1721 S Air Depot BlvdMidwest City, OK 73110-5103
Phone 405-610-2447 · Fax 405-610-2086
Mailing address
1721 S Air Depot BlvdMidwest City, OK 73110-5103
Phone 405-610-2447 · Fax 405-610-2086
Authorized official
Tyson Dinh Quy
Physician
4056102447
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