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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF OKLAHOMA

Active Organization

Clinic/Center · OKLAHOMA CITY, OK

Registration Details

NPI Number
1114044369
Provider Type
Organization
NPI Issued
Mar 23, 2007 (19.08357354258 yrs)
Last Updated
Aug 16, 2024

Practice Information

Address
123 ROBERT S KERR AVE STE 1702
OKLAHOMA CITY, OK, 731026406
Browse OK providers · Browse ZIP 73102
Phone
4054268650
Fax
4059007498
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.