# MEN'S VASCULAR PERFORMANCE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417412461
- **Authorized official:** ALBERT SANCHEZ (CEO)
- **Authorized official phone:** (479) 263-2690

## Contact information

- **Practice address:** 2431 SE WASHINGTON BLVD STE B, BARTLESVILLE, OK 74006-7259
- **Practice address phone:** (479) 263-2690
- **Mailing address:** PO BOX 330131, TULSA, OK 74133-0131
- **Mailing address phone:** (479) 263-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 02/04/2019