Primary Care Medical Clinic Plc

NPI 1275953820 - Clinic/Center - 261QP2300X

NPI Details
NPI 1275953820
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHAEL SHANE MICHAEL
Position OWNER
Phone (888) 330-7831
Fax (888) 330-7831
Practice Location
13600 PRAIRIE VIEW LN
OKLAHOMA CITY OK, 73142-5917, US
Phone (888) 330-7831
Fax (888) 330-7831
Business Location
13600 PRAIRIE VIEW LN
OKLAHOMA CITY OK, 73142-5917, US
Phone (888) 330-7831
Fax (888) 330-7831
Toxanomy
Taxonomy Code 261QP2300X
License State Oklahoma
License Number 30380
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According to our database, Primary Care Medical Clinic Plc NPI is 1275953820, taxonomy code is 261QP2300X and license number is 30380, license state is located at Oklahoma. Primary Care Medical Clinic Plc physically located at 13600 Prairie View Ln, Oklahoma City OK, 73142-5917. NPI Number 1033115704 has the healthcare provider type.

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1275953820 NPI number is provided on an as is basis without warranty of any kind. 1275953820 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care Medical Clinic Plc are for informational purposes only.