| Organization Name: | OHH PHYSICIANS SOUTH, LLC |
| NPI Number: | 1003127952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK KLAKULAK (CFO) |
| Mailing Address: | 5200 E I 240 Service Rd Oklahoma City |
| State: | OK US |
| Postal Code: | 731352607 |
| Phone Number: | 4056286000 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2010 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |