Organization · Type 2 NPI
Mi Clinica LLC
Primary Care Clinic/Center · Oklahoma City, OK
NPI number
1083189724
Active
Practice location
4200 S May Ave Ste D
Oklahoma City, OK 73119-3200
Fax (405) 421-9640
Mailing address
2119 Riverwalk Dr Ste 202
Moore, OK 73160-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1083189724
Mi Clinica LLC's National Provider Identifier is 1083189724, issued on Oct 9, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 23, 2020.