# BROKEN ARROW FAMILY CLINIC INC

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

## Provider details

- **NPI number:** 1497966303
- **Authorized official:** BRIAN CODER (PRESIDENT)
- **Authorized official phone:** (918) 251-2666

## Contact information

- **Practice address:** 705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
- **Practice address phone:** (918) 251-2666
- **Practice address fax:** (918) 258-7790
- **Mailing address:** 705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
- **Mailing address phone:** (918) 251-2666
- **Mailing address fax:** (918) 258-7790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1530 | OK | — |
| 207Q00000X | Family Medicine Physician | 1577 | OK | — |
| 207Q00000X | Family Medicine Physician | 1827 | OK | — |
| 207Q00000X | Family Medicine Physician | 3252 | OK | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 05/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100090910A | — | OK |
| 05 | — | 100090910B | — | OK |
| 05 | — | 1001257870A | — | OK |
| 05 | — | 100177740A | — | OK |
| 05 | — | 100178470A | — | OK |
| 05 | — | 100183270A | — | OK |
| 05 | — | 100257900A | — | OK |
| 05 | — | 100258080A | — | OK |
| 01 | — | 1427164888 | BRIAN CODER NPI | OK |
| 01 | — | 1447234885 | CAROLE HOWARD NPI | OK |
| 01 | — | 1679502173 | ARTHUR CODER NPI | OK |
| 01 | — | 1811923949 | JAMES CODER NPI | OK |