| Barreto Health Care | |
|
3418 Nw 135th St Oklahoma City OK 73120-4009 | |
| (405) 286-1075 | |
| (405) 608-1075 |
| Full Name | Barreto Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3418 Nw 135th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Angelique Barreto (PRESIDENT) |
| Authorized Official Contact | 4052861075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barreto Health Care 3418 Nw 135th St Oklahoma City OK 73120-4009 Ph: (405) 286-1075 | Barreto Health Care 3418 Nw 135th St Oklahoma City OK 73120-4009 Ph: (405) 286-1075 |
| NPI Number | 1013976638 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 03/05/2020 |
| Medicare PECOS PAC ID | 4587686522 |
|---|---|
| Medicare Enrollment ID | O20051219000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013976638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Angelique Barreto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932168572 PECOS PAC ID: 4486679461 Enrollment ID: I20051221000285 |
| Provider Name | Michelle L Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316122039 PECOS PAC ID: 4880744549 Enrollment ID: I20090618000346 |
| Provider Name | Alexandra B Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659740793 PECOS PAC ID: 9335424118 Enrollment ID: I20170316002532 |
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