Hyde, Homer Clark
Hyde, Homer Clark is an individual health care provider with primary practice located at 4140 W Memorial Rd Suite 422, Oklahoma City OK 73120-8366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hyde, Homer Clark can be contacted via phone (405) 751-0051.Contact Information
Primary practice address
4140 W Memorial Rd Suite 422
Oklahoma City OK 73120-8366
Phone: (405) 751-0051
Fax: (405) 751-0051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 8687 | Oklahoma |
Profile Details
| NPI number | 1245230705 |
|---|---|
| LBN Legal business name | Hyde, Homer Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Aug 20th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245230705 | NPPES |
| Oklahoma | Other | 202130641012 | BC/BS |
| Oklahoma | MEDICAID | 100253200A | BC/BS |
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