Desandre, Frank A

Desandre, Frank A is an individual health care provider with primary practice located at 12451 E 100Th St N , Owasso OK 74055-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Desandre, Frank A can be contacted via phone (918) 274-5000.

Contact Information

Primary practice address
12451 E 100Th St N Owasso OK 74055-4600
Fax: (918) 274-5117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000034302 Tennessee

Profile Details

NPI number 1538196399
LBN Legal business name Desandre, Frank A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538196399 NPPES
Oklahoma MEDICAID 100203270A

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