Organization · Type 2 NPI

State of Oklahoma

Clinic/Center · Oklahoma City, OK

NPI number 1114044369 Active

Practice location

123 Robert S Kerr Ave Ste 1702
Oklahoma City, OK 73102-6406

Call (405) 426-8650 Map

Fax (405) 900-7498

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Federal Public Health Clinic/Center 261QP0904XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10 other providers at this address

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About NPI 1114044369

State of Oklahoma's National Provider Identifier is 1114044369, issued on Mar 23, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 16, 2024.