Midwest City Hma Physician Management, LLC

NPI #1538414255 in Shawnee, Oklahoma

Provider Information

NPI Number: 1538414255
Entity Type: Organization
Organization Name: Midwest City Hma Physician Management, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTH MANAGEMENT ASSOCIATES, INC.
Primary Specialty: Family Medicine
Enumeration Date: Jul 18, 2012
Last Updated: Nov 27, 2012

Practice Location

Address: 3700 N KICKAPOO AVE
Address 2: STE 124
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1707
Phone: (405) 273-6383

Authorized Official

Name: MR. MICHAEL L GINGRAS
Title: VICE PRESIDENT
Phone: (239) 598-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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