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MI CLINICA LLC NPI 1083189724


NPI Information

NPI: 1083189724
Provider Name: MI CLINICA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4200 S MAY AVE STE D
OKLAHOMA CITY, OK
ZIP 73119
Phone: (405) 482-8221
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MI CLINICA LLC is a primary care clinic center in Oklahoma City, OK. MI CLINICA LLC NPI is 1083189724. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4200 S MAY AVE STE D
OKLAHOMA CITY, OK
ZIP 73119-200
Phone: (405) 482-8221
Fax: (405) 421-9640

The provider's authorized official is Gregory Joseph Bijak .
The authorized official title is Manager and has the following contact phone number (505) 270-3823.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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