# CROSSBROOK MEDICAL

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

## Provider details

- **NPI number:** 1619833670
- **Authorized official:** SHEILA JOANN STANEK DO (MANAGER)
- **Authorized official phone:** (405) 880-4329

## Contact information

- **Practice address:** 10601 S WESTERN AVE, OKLAHOMA CITY, OK 73170-6200
- **Practice address phone:** (405) 563-0443
- **Practice address fax:** (405) 563-0441
- **Mailing address:** 10601 S WESTERN AVE, OKLAHOMA CITY, OK 73170-6200
- **Mailing address phone:** (405) 563-0443
- **Mailing address fax:** (405) 563-0441

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2026
- **Last updated:** 01/02/2026