Organization
HEARTLAND TRAVEL HEALTH SERVICES LLC
Active
Other names
Passport Health of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET RICE HAYMORE M.D (MEDICAL DIRECTOR)
(405) 563-8961
Entity
Organization
Contact information
Practice address
3545 NW 58TH ST, SUIT 340, OKLAHOMA CITY, OK 73112-4726
(888) 528-9521
(888) 521-6702
Mailing address
3545 NW 58TH ST, SUIT 340, OKLAHOMA CITY, OK 73112-4726
(888) 528-9521
(888) 521-6702
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
28286
OK
Other
Enumeration date
05/24/2012
Last updated
07/23/2012
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