Organization · Type 2 NPI
Team Clinics Ah LLC
Primary Care Clinic/Center · Broken Arrow, OK
NPI number
1962013110
Active
Practice location
4300 E Gary Street
Broken Arrow, OK 74014
Mailing address
3112 Cooke Way
Oklahoma City, OK 73179-2401
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 1962013110
Team Clinics Ah LLC's National Provider Identifier is 1962013110, issued on Aug 12, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 28, 2021.