| Broken Arrow Family Practice Center | |
|
817 S Elm Pl Ste A Broken Arrow OK 74012-5369 | |
| (918) 251-2273 | |
| (918) 258-6446 |
| Full Name | Broken Arrow Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 817 S Elm Pl Ste A, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Douglas Holte (OWNER) |
| Authorized Official Contact | 9182512273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Arrow Family Practice Center 817 S Elm Pl Ste A Broken Arrow OK 74012-5369 Ph: (918) 251-2273 | Broken Arrow Family Practice Center 817 S Elm Pl Ste A Broken Arrow OK 74012-5369 Ph: (918) 251-2273 |
| NPI Number | 1659405488 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659405488 | NPI | - | NPPES |
| 100172440D | Medicaid | OK | |
| P00389602 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S 9th St, Broken Arrow, OK 74012 Phone: 405-546-4130 | |
Wellspring Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 N. Birch Ave, Broken Arrow, OK 74012 Phone: 918-461-0422 Fax: 918-461-0428 | |
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Dr Brandon Bailey Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3621 S Elder Blvd, Broken Arrow, OK 74011 Phone: 620-330-0360 | |