Organization
FHCOKC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA M. PRATT-REID APRN (CEO)
(405) 373-2400
Entity
Organization
Contact information
Practice address
6102 NW 63RD ST STE A, OKLAHOMA CITY, OK 73132-7526
(405) 373-2400
(405) 373-4400
Mailing address
PO BOX 660, PIEDMONT, OK 73078-0660
(405) 373-2400
(405) 373-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323320A
—
OK
Enumeration date
10/29/2009
Last updated
02/25/2016
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