Organization
NEIGHBORHOOD FAMILY CLINIC & MINOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA PRATT-REID ARNP (OWNER)
(405) 373-2400
Entity
Organization
Contact information
Practice address
6102 NW 63RD ST STE B, OKLAHOMA CITY, OK 73132-7526
(405) 373-2400
(405) 373-4400
Mailing address
PO BOX 660, PIEDMONT, OK 73078-0660
(405) 373-2400
(405) 373-4400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043440B
—
OK
Enumeration date
04/17/2007
Last updated
02/25/2016
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