Organization
TOTAL PRIMARY CARE PC
Active
Other names
Total Primary Care P.C
Organization subpart
No
Provider details
NPI number
Authorized official
XIOMARA J PORRAS APRN PMHNP DNP (PROVIDER)
(405) 470-7947
Entity
Organization
Contact information
Practice address
6301 N MERIDIAN AVE STE 103, OKLAHOMA CITY, OK 73112-1267
(405) 470-7947
Mailing address
6301 N MERIDIAN AVE STE 103, OKLAHOMA CITY, OK 73112-1267
(405) 470-7947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200769470A
—
OK
Enumeration date
09/08/2017
Last updated
11/20/2024
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