Premise Health Of Oklahoma Medical, P.c
Specialty details in registry · Broken Arrow, OK
At a glance
1104 E Kenosha St, Broken Arrow, OK 74012-2067
NPPES record updated Oct 13, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1104 E Kenosha StBroken Arrow, OK 74012-2067
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QP2300X
- Enumeration date
- Aug 15, 2018
- Record updated
- Oct 13, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QP2300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1104 E Kenosha StBroken Arrow, OK 74012-2067
- Phone
- (918) 994-6866
- Fax
- (918) 994-6897
Mailing address
5500 MARYLAND WAY STE 400BRENTWOOD, TN 370277048
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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