Search › Oklahoma › 2084N0400X
Eduardo De Sousa, M.D
NPI 1992819700 · on the registry since 2006
Practice
- Address
- 1060 Sw 4th St
Moore, OK 73160 - Phone
- (405) 302-2661
- Fax
- (405) 302-2670
- Organisation at this address
- South Sooner Dental Partners
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 4120 W Memorial Rd Ste 218, Oklahoma City, OK
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084N0008X
2084N0400X
2084N0600X - Licence states on file
- OK, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma