| The Norman Add Center, Pllc | |
|
730 Asp Ave Suite 210 Norman OK 73069-4933 | |
| (405) 310-4477 | |
| (405) 310-4417 |
| Full Name | The Norman Add Center, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 730 Asp Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Gregory Ernest Shadid (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 4053104477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Norman Add Center, Pllc 730 Asp Ave Suite 210 Norman OK 73069-4933 Ph: (405) 310-4477 | The Norman Add Center, Pllc 730 Asp Ave Suite 210 Norman OK 73069-4933 Ph: (405) 310-4477 |
| NPI Number | 1336410521 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336410521 | NPI | - | NPPES |
| 100228720B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20542 (Oklahoma) | Primary |
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