Boulevard Family Clinic LLC
Family Medicine in Edmond, OK. Organization (NPI-2).
NPI number1760774814
StatusActive
Last updated in NPPESMay 9, 2011
Details
- NPI
- 1760774814
- Entity type
- Organization (NPI-2)
- Legal business name
- Boulevard Family Clinic LLC
- Organization subpart
- No
- Enumeration date
- May 9, 2011
- Last updated
- May 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3431 S BoulevardSuite 109
Edmond, OK 73013-5475
Phone 405-470-1884
Mailing address
3431 S BoulevardSuite 109
Edmond, OK 73013-5475
Phone 405-470-1884
Authorized official
T Denise Cato
Administrator
4054701884
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Edmond, OK
- A Vail Stephens MD INCNPI 1689949885
- Tirsit Adane, MDNPI 1780942300
- Dr. Sarfraz AhmedNPI 1811374770
- Alexander Frank PLLCNPI 1740943208
- Armani AliNPI 1649910761
- Dr. Sarah Elizabeth Ayres, m.d.NPI 1326087909
- Joanna Bartholomew, D.O.NPI 1932554961
- Dr. Loring Barwick Jr., D.O.NPI 1700837986
- Brittney Ann Bernal, DONPI 1497323174
- Dr. William L. Bondurant, MDNPI 1669447371
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.