Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

First Med Clinic S 104th LLC

Organization Family Medicine Physician · NPI 1942649520

First Med Clinic S 104th LLC is a Family Medicine Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 SW 104th St
Oklahoma City, OK 73139-2992
Phone: (405) 691-3100
Fax: (405) 691-3106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942649520
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvance Physicians Group, LLC
Authorized official Todd Lechtenberger — Ceo · (405) 471-6400
NPI enumeratedJune 18, 2013
Last updated in NPPESJune 18, 2013
Mailing address1221 N Kelly Ave, Edmond, OK 73003-4865

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