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

LTAC Associates of Oklahoma LLC

Organization Family Medicine Physician · NPI 1790129559

LTAC Associates of Oklahoma 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

3801 N Classen Blvd Ste 100
Oklahoma City, OK 73118-2871
Phone: (405) 557-1200
Fax: (405) 557-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790129559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Martin — Chief Operating Officer · (405) 557-1200
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013
Mailing address3801 N Classen Blvd, Suite 100, Oklahoma City, OK 73118-2871

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