Organization
BRIGHT FUTURE PRIMARY CARE OF BIXBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DYER (CEO)
(918) 928-5437
Entity
Organization
Contact information
Practice address
19 E DAWES AVE, BIXBY, OK 74008-4414
(918) 928-5437
(888) 720-8944
Mailing address
19 E DAWES AVE, BIXBY, OK 74008-4414
(918) 928-5437
(888) 720-8944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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