Organization
CARENG CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY T NG NP (NURSE PRACTITIONER)
(405) 615-3801
Entity
Organization
Contact information
Practice address
1500 SW 44TH ST, OKLAHOMA CITY, OK 73119-4006
(405) 615-3801
Mailing address
1500 SW 44TH ST, OKLAHOMA CITY, OK 73119-4006
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
R060453
OK
Other
Enumeration date
11/07/2016
Last updated
01/03/2017
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