Organization Name: | OKLAHOMA PRIMARY CARE SOLUTIONS PC |
NPI Number: | 1659673119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE D BERRYMAN (CFO) |
Mailing Address: | 2642 E 21st St Suite 285 Tulsa |
State: | OK US |
Postal Code: | 741141716 |
Phone Number: | 9185748820 |
Fax Number: | 9185748821 |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 03/27/2012 |
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: |