Provider Demographics
NPI:1164637930
Name:DOC SERVICES, INC
Entity Type:Organization
Organization Name:DOC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-542-6671
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74355-0848
Mailing Address - Country:US
Mailing Address - Phone:918-542-6671
Mailing Address - Fax:918-542-2439
Practice Address - Street 1:205 B ST NE
Practice Address - Street 2:UNIT 107
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-5903
Practice Address - Country:US
Practice Address - Phone:918-542-6671
Practice Address - Fax:918-542-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK10069944OKMedicaid