At Home Care MHT LLC

Organization Active NPI Family Medicine Physician · Bethany, OK

NPI 1417366352 · NPPES record last updated Aug 5, 2014

Key facts

NPI
1417366352
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AT HOME CARE MHT LLC
Practice address
7530 NW 23Rd St
Bethany, OK 73008-4921
Phone
(855) 860-2109
NPI assigned
Aug 5, 2014
Organization subpart
No

Authorized official

Name
Joseph Broome, M.D.
Title
Owner
Phone
(405) 420-6570

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X OK Yes

Addresses

Primary practice location

7530 NW 23Rd St
Bethany, OK 73008-4921

Mailing address

1515 Heritage Drive
Suite 110
McKinney, TX 75069-3379
Phone (855) 860-2109

Other providers in Bethany, OK

All providers in Bethany, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.