Provider Demographics
NPI:1861732992
Name:CLASSEN FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:CLASSEN FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORBATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-701-7111
Mailing Address - Street 1:2824 CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4059
Mailing Address - Country:US
Mailing Address - Phone:405-701-7111
Mailing Address - Fax:
Practice Address - Street 1:2824 CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4059
Practice Address - Country:US
Practice Address - Phone:405-701-3563
Practice Address - Fax:405-310-5194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty