# PHP OK PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHP OK PC
- **Other names:** Primary Health Partbners
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679332464
- **Legal business name:** PHP OK PC
- **Authorized official:** ANGIE MCKINNEY (OPERATIONS MANAGER)
- **Authorized official phone:** (405) 577-6571

## Contact information

- **Practice address:** 2050 W KENOSHA ST, BROKEN ARROW, OK 74012-8946
- **Practice address phone:** (918) 882-0440
- **Practice address fax:** (918) 882-0441
- **Mailing address:** 1820 COMMONS CIR STE B, YUKON, OK 73099-9518
- **Mailing address phone:** (405) 265-2778
- **Mailing address fax:** (405) 577-6571

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024