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SPECTRA MEDICAL HOME MHT LLC
NPI 1700201498
Physician Assistant in Choctaw, OK

Active since March 04, 2014
12500 NE 36TH ST, CHOCTAW, OK 73020(855) 860-2109 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spectra Medical Home Mht Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRA MEDICAL HOME MHT LLC (NPI 1700201498) is a healthcare organization registered as a physician assistant in Choctaw, Oklahoma and active in the NPI registry since March 2014. The organization lists Elmer Gari Owens, Owner, as its authorized official.

NPPES Registry Identity

NPI1700201498
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSPECTRA MEDICAL HOME MHT LLC
Location Address12500 NE 36TH STChoctaw, OK 73020-9111
Mailing Address1515 Heritage Drive, Suite 110Mckinney, TX 75069-3379 · (972) 616-4702
Phone(855) 860-2109
Organization SubpartNo
Authorized OfficialElmer Gari OwensOwner · (855) 860-2109
Enumeration DateMarch 4, 2014
✔ NPI 1700201498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · PA619
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12500 NE 36TH ST, Choctaw, OK 73020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectra Medical Home Mht LLC's NPI number?

The NPI number for Spectra Medical Home Mht LLC is 1700201498. It was assigned to this organization in the NPPES registry on March 4, 2014.

Where is Spectra Medical Home Mht LLC located?

Spectra Medical Home Mht LLC is located at 12500 NE 36th St, Choctaw, OK 73020. The listed phone number is (855) 860-2109.

What is Spectra Medical Home Mht LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Spectra Medical Home Mht LLC was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.