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Organization
PRIME HEALTH ASSOCIATES, PLLC
Active
Organization
PRIME HEALTH ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WHITE MD (MD/OWNER)
(405) 822-0130
Entity
Organization
Contact information
Practice address
2511 ALEXA AVE, EDMOND, OK 73034-3458
(405) 822-0130
Mailing address
2511 ALEXA AVE, EDMOND, OK 73034-3458
(405) 822-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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