Organization Name: | NAZALA HEALTHCARE INC PC |
NPI Number: | 1306205026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA RHODES (OFFICE MANAGER) |
Mailing Address: | 7221 W Hefner Rd Oklahoma City |
State: | OK US |
Postal Code: | 731624505 |
Phone Number: | 4054706900 |
Fax Number: | 4054706901 |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |