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DURANT HMA PHYSICIAN MANAGEMENT LLC NPI 1750637427


NPI Information

NPI: 1750637427
Provider Name: DURANT HMA PHYSICIAN MANAGEMENT, LLC

Doing Business As: MEDICAL CENTER UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1400 BRYAN DR
SUITE 303
DURANT, OK
ZIP 74701
Phone: (580) 931-2227
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DURANT HMA PHYSICIAN MANAGEMENT, LLC is an urology in Durant, OK. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DURANT HMA PHYSICIAN MANAGEMENT, LLC NPI is 1750637427. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Center Urology.

The provider's business location address is:

1400 BRYAN DR
SUITE 303
DURANT, OK
ZIP 74701-156
Phone: (580) 931-2227
Fax: (580) 931-2057

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 11/27/2012.


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
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1600522400MEDICARE PINOKLAHOMA

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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