Organization
PROPHYLAXIS HEALTHCARE LLC
Active
Other names
Axis Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
BERT SANCHEZ (OWNER)
(479) 263-2690
Entity
Organization
Contact information
Practice address
211 S MILL ST, PRYOR, OK 74361-5221
(918) 825-3777
(918) 825-3776
Mailing address
PO BOX 334, BIXBY, OK 74008-0334
(918) 970-2886
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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