Dr. Bryan Treacy
Obstetrician
1035 Sw 19th St Suite B
Moore
, Oklahoma 73160-2883
Dr. Bryan Treacy
Obstetrician
1035 Sw 19th St Suite B
Moore
, Oklahoma 73160-2883
(405) 793-0815
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Bryan Treacy
- Po Box 6847
- Moore, OK
- Zip : 73153-0847
- Fax : (405) 793-0815
- Phone : (405) 793-9171
Second Address
- Dr. Bryan Treacy
- 1035 Sw 19th St Suite B
- Moore, OK
- Zip : 73160-2883
- Fax : (405) 793-0815
- Phone : (405) 793-9171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 23781 | OK |
National Provider Identifier
| NPI | 1356339360 |
|---|---|
| Provider Name | Dr. Bryan Treacy |
| First Address | Moore, OK 73153-0847 |
| Second Address | Moore, OK 73160-2883 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2005 |
| Last Update Date | 30/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200036180A | (05) | OK |
| E53027 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.