Provider Demographics
NPI:1275407553
Name:DMT HEALTH SERVICES LLC
Entity type:Organization
Organization Name:DMT HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN-DNP
Authorized Official - Prefix:DR
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:TOUAYEM
Authorized Official - Last Name:MBOU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:405-413-1826
Mailing Address - Street 1:1417 CORDGRASS CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-2141
Mailing Address - Country:US
Mailing Address - Phone:405-413-1826
Mailing Address - Fax:
Practice Address - Street 1:5300 N MERIDIAN AVE STE 10F
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2179
Practice Address - Country:US
Practice Address - Phone:405-413-1826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty