| Organization Name: | HEALTHFIRST PHYSICIAN MANAGEMENT |
| NPI Number: | 1538458047 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRYSTAL L PENA (CREDENTIALING SPECIALIST) |
| Mailing Address: | 1111 N Dewey Pre-op Clinic Oklahoma City |
| State: | OK US |
| Postal Code: | 73103 |
| Phone Number: | 4052727452 |
| Fax Number: | 4052727937 |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |