Organization
BURGESS FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHABON S BURGESS (OWNER/MANAGER)
(580) 933-9024
Entity
Organization
Contact information
Practice address
508 E WILSON ST, VALLIANT, OK 74764-9115
(580) 933-9024
(833) 382-0111
Mailing address
508 E WILSON ST, VALLIANT, OK 74764-9115
(580) 933-9024
(580) 933-9027
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OK
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
02/28/2018
Last updated
04/20/2022
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