State of Oklahoma Medical Center LLC
State of Oklahoma Medical Center LLC is a Behavioral Neurology & Neuropsychiatry Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 Park Ave Ste 1300Oklahoma City, OK 73102-7216
Phone: (510) 456-8143
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | Taxonomy 2084B0040X |
Record details
| NPI number | 1740177401 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cristine Hernandez — Ceo · (510) 456-8143 |
| NPI enumerated | June 23, 2025 |
| Last updated in NPPES | June 23, 2025 |
| Certification date | June 23, 2025 |
| Mailing address | 4570 S Eastern Ave Ste 28, Las Vegas, NV 89119-6183 |
Other providers in Oklahoma City
-
Claire Emmanuelle Delpirou Nouh, MD
825 NE 10th St Ste 5B, Oklahoma City, OK 73104-5417 · (405) 271-3635
-
Dr. Siavash Nael, MD
4720 S Western Ave, Oklahoma City, OK 73109 · (405) 634-5529