| Royal Charter Medical Llc | |
|
5721 Nw 132nd St Oklahoma City OK 73142-4437 | |
| (405) 557-1200 | |
| Not Available |
| Full Name | Royal Charter Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5721 Nw 132nd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jason Martin (OWNER) |
| Authorized Official Contact | 4055571200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Charter Medical Llc 5721 Nw 132nd St Oklahoma City OK 73142-4437 Ph: (405) 557-1200 | Royal Charter Medical Llc 5721 Nw 132nd St Oklahoma City OK 73142-4437 Ph: (405) 557-1200 |
| NPI Number | 1023814191 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Medicare PECOS PAC ID | 8325560816 |
|---|---|
| Medicare Enrollment ID | O20250313001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023814191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Corey D Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407903644 PECOS PAC ID: 3870774250 Enrollment ID: I20120202000898 |
| Provider Name | Randy Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194109066 PECOS PAC ID: 6608113097 Enrollment ID: I20210827000095 |
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