# FRONTERA MEDICAL

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

## Provider details

- **NPI number:** 1447914692
- **Authorized official:** KATHERINE PELLOW (MANAGER)
- **Authorized official phone:** (405) 252-0811

## Contact information

- **Practice address:** 701 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
- **Practice address phone:** (405) 252-0811
- **Mailing address:** 701 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
- **Mailing address phone:** (405) 252-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 10/25/2021