Organization · Type 2 NPI
Premise Health of Oklahoma Medical PC
Primary Care Clinic/Center · Midwest City, OK
NPI number
1689154031
Active
Practice location
6912 E Reno Ave Ste 202
Midwest City, OK 73110-2157
Fax (405) 610-6131
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 1689154031
Premise Health of Oklahoma Medical PC's National Provider Identifier is 1689154031, issued on Aug 15, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Midwest City, OK. The record was last updated on Feb 13, 2026.