Organization Name: | OXFORD AFTER HOURS CLINIC, LLC |
NPI Number: | 1578879235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE A SERIO (OWNER/MANAGER) |
Mailing Address: | 1929 University Ave Oxford |
State: | MS US |
Postal Code: | 386554113 |
Phone Number: | 6622362232 |
Fax Number: | 6622362264 |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |