# INTEGRIS AMBULATORY CARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACER Fitness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790141935
- **Authorized official:** C BRUCE LAWRENCE (PRESIDENT/CEO)
- **Authorized official phone:** (405) 949-3177

## Contact information

- **Practice address:** 5520 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5641
- **Practice address phone:** (405) 949-3891
- **Practice address fax:** (405) 949-3475
- **Mailing address:** 5520 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5641
- **Mailing address phone:** (405) 949-3891
- **Mailing address fax:** (405) 949-3475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 2297 | OK | Yes |

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 01/04/2016