Provider Demographics
NPI:1508859489
Name:LIMES GENITOURINARY CLINIC INC
Entity Type:Organization
Organization Name:LIMES GENITOURINARY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:LIMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-737-3538
Mailing Address - Street 1:3101 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5308
Mailing Address - Country:US
Mailing Address - Phone:405-946-3366
Mailing Address - Fax:405-946-3405
Practice Address - Street 1:1201 S DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5263
Practice Address - Country:US
Practice Address - Phone:405-737-3538
Practice Address - Fax:405-946-3405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-26
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6839208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty