Img Clinic PLLC
Organization Active NPI Family Medicine Physician · Oklahoma City, OK
NPI 1851048623 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1851048623
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- IMG CLINIC PLLC
- Practice address
- 7006 Broadway Extension
Oklahoma City, OK 73116 - Phone
- (405) 916-4545
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Michael McMahan, MD
- Title
- Medical Director
- Phone
- (405) 760-2018
Corporate family (same tax ID) 3
Practitioners 6
-
Laura Foshee, P.T.
-
Breanna Lea White, ARNP
National Provider Directory
- Tax ID family
- Img Clinic PLLC
Locations
7006 Broadway Ext
Oklahoma City, OK 73116
Phone (405) 916-4545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
7006 Broadway Extension
Oklahoma City, OK 73116
Mailing address
610 W 11TH St
Traverse City, MI 49684-3150
Phone (313) 314-0617
Other providers in Oklahoma City, OK
- Ben Imagiedouglas
- Imani'S Village
- Bailey Thomas Imbo
- Blake Imel
- Norman Kerr Imes
- Kaylee Imke
- Immediate Care of Oklahoma - SE Okc Lab
- Immediate Care of Oklahoma L.L.C.
- Immediate Care of Oklahoma LLC
- Immediate Care of Oklahoma, LLC
All providers in Oklahoma City, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. 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.