Provider Demographics
NPI:1154598936
Name:DAVID QUY INC
Entity type:Organization
Organization Name:DAVID QUY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:QUY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-722-8100
Mailing Address - Street 1:7236 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1543
Mailing Address - Country:US
Mailing Address - Phone:405-722-8100
Mailing Address - Fax:405-722-8104
Practice Address - Street 1:7236 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1543
Practice Address - Country:US
Practice Address - Phone:405-722-8100
Practice Address - Fax:405-722-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100259890AMedicaid
OK200522058Medicare Oscar/Certification
OK100259890AMedicaid