Organization · Type 2 NPI

Bristow Endeavor Healthcare, LLC

Family Medicine Physician · Prague, OK

NPI number 1275093098 Active

Practice location

810 9th St
Prague, OK 74864-4582

Call (405) 566-3411 Map

Fax (405) 566-3410

Mailing address

1809 E 13th St Ste 300
Tulsa, OK 74104-4431

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Prague

Prague Medical Alliance PLLCFamily Medicine Physician Prague, OK NPI 1730389735

See all in Prague →

NPI record

NPI: 1275093098
Entity type: Organization (Type 2)
Issued: Mar 20, 2019
Last updated: May 30, 2023
Status: Active
Subpart: Yes of Bristow Endeavor Healthcare, LLC

Other names

<unavail>
Prague Healthcare Center · doing business as
Prague Healthcare Center · doing business as

Authorized official

Melinda Kay Whitaker
Credentialing Coordinator
(918) 701-2313

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275093098

Bristow Endeavor Healthcare, LLC's National Provider Identifier is 1275093098, issued on Mar 20, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Prague, OK. The record was last updated on May 30, 2023.