| Family Health Clinic - Clinical De Salud Familiar | |
|
1515 Se 44th St Oklahoma City OK 73129-7906 | |
| (405) 371-0212 | |
| Not Available |
| Full Name | Family Health Clinic - Clinical De Salud Familiar |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1515 Se 44th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Doris Nmn Perez (APRN) |
| Authorized Official Contact | 4053710212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Clinic - Clinical De Salud Familiar 2329 Nw 158th St Edmond OK 73013-9764 Ph: (405) 371-0212 | Family Health Clinic - Clinical De Salud Familiar 1515 Se 44th St Oklahoma City OK 73129-7906 Ph: (405) 371-0212 |
| NPI Number | 1649991449 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 6305215542 |
|---|---|
| Medicare Enrollment ID | O20221212000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649991449 | NPI | - | NPPES |
| Provider Name | Doris Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528570660 PECOS PAC ID: 0749530715 Enrollment ID: I20180912002818 |
| Provider Name | Yuko Tango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801649470 PECOS PAC ID: 7113369935 Enrollment ID: I20240524001979 |
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