| Physicians At Home, Inc | |
|
511 E 1st St Chandler OK 74834-2439 | |
| (405) 654-0013 | |
| (405) 654-0012 |
| Full Name | Physicians At Home, Inc |
|---|---|
| Speciality | General Practice |
| Location | 511 E 1st St, Chandler, Oklahoma |
| Authorized Official Name and Position | Samantha Bollich (ALT. MANAGER) |
| Authorized Official Contact | 4056540013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians At Home, Inc 511 E 1st St Chandler OK 74834-2439 Ph: (405) 654-0013 | Physicians At Home, Inc 511 E 1st St Chandler OK 74834-2439 Ph: (405) 654-0013 |
| NPI Number | 1447659768 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447659768 | NPI | - | NPPES |
| 200564250C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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