| Gallery Medical Family Clinic | |
|
2801 Nw 23rd St Oklahoma City OK 73107-2213 | |
| (405) 602-2525 | |
| (405) 602-2585 |
| Full Name | Gallery Medical Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2801 Nw 23rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Matthew James Haag (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4056022525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallery Medical Family Clinic 2801 Nw 23rd St Oklahoma City OK 73107-2213 Ph: (405) 602-2525 | Gallery Medical Family Clinic 2801 Nw 23rd St Oklahoma City OK 73107-2213 Ph: (405) 602-2525 |
| NPI Number | 1134413537 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 04/23/2015 |
| Medicare PECOS PAC ID | 5496075137 |
|---|---|
| Medicare Enrollment ID | O20150521000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134413537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22701 (Oklahoma) | Primary |
| Provider Name | Matthew J Haag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417048737 PECOS PAC ID: 2062459886 Enrollment ID: I20050604000063 |
| Provider Name | Hillary Alison White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992127310 PECOS PAC ID: 1355679101 Enrollment ID: I20190819001224 |
| Provider Name | Shaylee Alexandria Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790341196 PECOS PAC ID: 5395074405 Enrollment ID: I20190913002011 |
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