Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boulevard Family Clinic LLC

Organization Family Medicine Physician · NPI 1760774814

Boulevard Family Clinic LLC provides Family Medicine Physician services in Edmond, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3431 S Blvd Ste 109
Edmond, OK 73013-5475 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 470-1884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760774814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official T Cato — Administrator · (405) 470-1884
NPI enumeratedMay 9, 2011
Last updated in NPPESMay 9, 2011
Mailing address3431 S Boulevard, Suite 109, Edmond, OK 73013-5475

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