NPI 1003161688

Midwest City Hma Physician Management, LLC

Organisation Cardiovascular Disease Physician Tishomingo, OK

Practice location

Address: 508 E 24th St, Tishomingo, OK 73460-3214
Phone: (580) 272-0715
Mailing address: 5811 Pelican Bay Blvd Suite 500, Naples, FL 34108-2733

Authorised official

Name: Michael L Gingras
Title: Vice President
Phone: (239) 598-3131

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Other Internal Medicine providers in Oklahoma →

Registry record

NPI: 1003161688
Entity type: Organization
NPI issued: 19 Jul 2012
Record last updated: 27 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.