Provider Demographics
NPI:1083626253
Name:OCA NORMAN, LP
Entity Type:Organization
Organization Name:OCA NORMAN, LP
Other - Org Name:EAST NORMAN URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CONATSER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-321-1911
Mailing Address - Street 1:334 12TH AVE SE STE 110
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-5064
Mailing Address - Country:US
Mailing Address - Phone:405-321-1911
Mailing Address - Fax:405-321-1610
Practice Address - Street 1:334 12TH AVE SE STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5064
Practice Address - Country:US
Practice Address - Phone:405-321-1911
Practice Address - Fax:405-321-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty