Darrell Eugene Black
Individual provider Active NPI Case Manager/Care Coordinator · Oklahoma City, OK
NPI 1063286284 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1063286284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104 - Phone
- (405) 424-7711
- NPI assigned
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | ||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Mailing address
14300 N Pennsylvania Ave Apt 41
Oklahoma City, OK 73134-6055
Phone (405) 430-6539
Other providers in Oklahoma City, OK
- Kaitlin Black-Salinas
- Allyson Black
- Brittany M Black
- Chasitie Rae Black
- Cheryl Sue Black
- Devaron Black
- Elizabeth Walker Black
- Haley Black
- James S Black
- Jeanne Devo Black
All providers in Oklahoma City, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.