# OKC PRIMARY CARE

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

## Provider details

- **NPI number:** 1831075399
- **Authorized official:** HAYLEY DORTON (MEDICAL BILLER)
- **Authorized official phone:** (405) 604-0004

## Contact information

- **Practice address:** 4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
- **Practice address phone:** (405) 604-0004
- **Mailing address:** 4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
- **Mailing address phone:** (405) 604-0004
- **Mailing address fax:** (405) 604-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 07/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200980380A | — | OK |