# BRISTOW ENDEAVOR HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORE Outreach Specialists, Bristow Family Practice, Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265863583
- **Authorized official:** MELINDA KAY WHITAKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (918) 701-2313

## Contact information

- **Practice address:** 519 N MAIN ST, BRISTOW, OK 74010-2016
- **Practice address phone:** (918) 367-6611
- **Practice address fax:** (918) 367-9915
- **Mailing address:** 1809 E 13TH ST STE 300, TULSA, OK 74104-4431
- **Mailing address phone:** (918) 701-2313
- **Mailing address fax:** (539) 235-0028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 11/18/2022