Provider Demographics
NPI:1376318600
Name:HOPE FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:HOPE FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:540-270-4935
Mailing Address - Street 1:2556 COVELL VILLAGE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-9732
Mailing Address - Country:US
Mailing Address - Phone:405-938-0700
Mailing Address - Fax:
Practice Address - Street 1:2556 COVELL VILLAGE DR STE 120
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-9732
Practice Address - Country:US
Practice Address - Phone:405-938-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty