| Prophylaxis Primary Care And Behavioral Healthcare Services Inc | |
|
12816 S Memorial Dr Unit 121 Bixby OK 74008-2593 | |
| (918) 970-4719 | |
| Not Available |
| Full Name | Prophylaxis Primary Care And Behavioral Healthcare Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12816 S Memorial Dr Unit 121, Bixby, Oklahoma |
| Authorized Official Name and Position | Albert Sanchez (CEO) |
| Authorized Official Contact | 4792632690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prophylaxis Primary Care And Behavioral Healthcare Services Inc Po Box 334 Bixby OK 74008-0334 Ph: (918) 970-4719 | Prophylaxis Primary Care And Behavioral Healthcare Services Inc 12816 S Memorial Dr Unit 121 Bixby OK 74008-2593 Ph: (918) 970-4719 |
| NPI Number | 1972178275 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972178275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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