Organization · Type 2 NPI
Premise Health of Oklahoma Medical PC
Primary Care Clinic/Center · Oklahoma City, OK
NPI number
1144700477
Active
Practice location
4200 Coletta Dr
Oklahoma City, OK 73120-8317
Fax (405) 286-5388
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1144700477
Premise Health of Oklahoma Medical PC's National Provider Identifier is 1144700477, issued on Aug 16, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 12, 2026.