Provider Demographics
NPI:1568105005
Name:ORIENTAL MEDICAL ARTS LLC
Entity Type:Organization
Organization Name:ORIENTAL MEDICAL ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONGMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-841-7150
Mailing Address - Street 1:11105 N 132ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-6065
Mailing Address - Country:US
Mailing Address - Phone:918-841-7150
Mailing Address - Fax:
Practice Address - Street 1:10310 N 138TH EAST AVE STE 206
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4604
Practice Address - Country:US
Practice Address - Phone:918-841-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center