Prophylaxis Healthcare Llc | |
211 S Mill St Pryor OK 74361-5221 | |
(918) 825-3777 | |
(918) 825-3776 |
Full Name | Prophylaxis Healthcare Llc |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 211 S Mill St, Pryor, Oklahoma |
Authorized Official Name and Position | Bert Sanchez (OWNER) |
Authorized Official Contact | 4792632690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prophylaxis Healthcare Llc Po Box 334 Bixby OK 74008-0334 Ph: (918) 970-2886 | Prophylaxis Healthcare Llc 211 S Mill St Pryor OK 74361-5221 Ph: (918) 825-3777 |
NPI Number | 1235800335 |
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Provider Enumeration Date | 09/28/2021 |
Last Update Date | 09/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235800335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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