Organization
DEPT OF HEALTH AND HUMAN SERVICES PHS INDIAN HEALTH SERVICE
Active
Other names
OCAO Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WATTS JR. (AREA DIRECTOR/ACTING)
(405) 931-3829
Entity
Organization
Contact information
Practice address
701 MARKET DR, OKLAHOMA CITY, OK 73114-8132
(405) 951-3820
(405) 951-3780
Mailing address
701 MARKET DR, OKLAHOMA CITY, OK 73114-8132
(405) 951-3820
(405) 951-3780
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/05/2008
Last updated
11/25/2019
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