Dr. Rickie Conrady
Family Doctor - Geriatric Medicine
225 Lilac Dr Ste 200
Edmond
, Oklahoma 73034-7287
Dr. Rickie Conrady
Family Doctor - Geriatric Medicine
225 Lilac Dr Ste 200
Edmond
, Oklahoma 73034-7287
(405) 330-7075
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Rickie Conrady
- Po Box 659506 Section 4142
- San Antonio, TX
- Zip : 78265-9506
- Fax : (405) 330-7075
- Phone : (405) 330-7000
Second Address
- Dr. Rickie Conrady
- 225 Lilac Dr Ste 200
- Edmond, OK
- Zip : 73034-7287
- Fax : (405) 280-5661
- Phone : (405) 330-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 14650 | OK |
National Provider Identifier
| NPI | 1316913510 |
|---|---|
| Provider Name | Dr. Rickie Conrady |
| First Address | San Antonio, TX 78265-9506 |
| Second Address | Edmond, OK 73034-7287 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 20/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10015790A | (05) | OK |
| E10823 | (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.