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

LTAC Associates of Oklahoma LLC

Organization Family Medicine Physician · NPI 1790129559

LTAC Associates of Oklahoma LLC provides Family Medicine Physician services in Oklahoma City, Oklahoma. Registered with an NPI since 2013.

In the registry since
2013
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

3801 N Classen Blvd Ste 100
Oklahoma City, OK 73118-2871 Not confirmed with CMS for 13 years — call before visiting
Phone: (405) 557-1200
Fax: (405) 557-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790129559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Martin — Chief Operating Officer · (405) 557-1200
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013
Mailing address3801 N Classen Blvd, Suite 100, Oklahoma City, OK 73118-2871

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