Organization
INTEGRATIVE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR G LEWIS APRN (AUTHORIZED OFFICIAL/OWNER)
(405) 757-9781
Entity
Organization
Contact information
Practice address
2305 WOODTHRUSH RD, PONCA CITY, OK 74604-2830
(405) 757-9781
Mailing address
2305 WOODTHRUSH RD, PONCA CITY, OK 74604-2830
(405) 757-9781
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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