Organization
CENTENNIAL HEALTH, PC
Active
Other names
Oklahoma City Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CHILTON (MANAGER)
(405) 280-5634
Entity
Organization
Contact information
Practice address
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111-3324
(405) 280-5550
(405) 280-5780
Mailing address
PO BOX 659506, SECTION 4142, SAN ANTONIO, TX 78265
(405) 280-5634
(405) 280-5661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728970A
—
OK
Enumeration date
06/10/2006
Last updated
11/03/2020
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