# AUXILIUM HEALTH NETWORK, LLC

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

## Provider details

- **NPI number:** 1982311734
- **Authorized official:** FUNGWAH CHRIS RUIZ (CEO)
- **Authorized official phone:** (626) 321-5755

## Contact information

- **Practice address:** 3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
- **Practice address phone:** (918) 455-2416
- **Mailing address:** 3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
- **Mailing address phone:** (918) 455-2416
- **Mailing address fax:** (918) 455-7546

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 11/05/2022