OrganizationActive
Joe Mansour
NPI 1083021125 · Multi-Specialty Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1083021125
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joe Mansour, Staff Pharmacist(405) 361-8080
- License
- 23225 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11805 Oldwick Cir
Oklahoma City, OK 73162-3225
Phone: (405) 361-8080
Street-level locationGet directions
Mailing address
11805 Oldwick Cir
Oklahoma City, OK 73162-3225
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.