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

Oklahoma Medical Clinic LLC

Organization Internal Medicine Physician · NPI 1629489612

Oklahoma Medical Clinic LLC is an Internal Medicine Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
6
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

10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Phone: (405) 378-3400
Fax: (186) 632-3795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X
Pain Medicine Physician Taxonomy 208VP0000X
Physical Therapist Taxonomy 225100000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629489612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Ellis — Member · (405) 664-7622
NPI enumeratedMay 13, 2014
Last updated in NPPESApril 23, 2018
Mailing address10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648

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