Individual provider · Type 1 NPI
Ryian Crenshaw
Point of Service · Ponca City, OK
NPI number
1639565153
Active
Practice location
410 Fairview Ave
Ponca City, OK 74601-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 1069 (OK) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
3 other providers at this address
About NPI 1639565153
Ryian Crenshaw's National Provider Identifier is 1639565153, issued on Apr 10, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Ponca City, OK. The record was last updated on Mar 30, 2021.