Organization
OKC PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY DORTON (MEDICAL BILLER)
(405) 604-0004
Entity
Organization
Contact information
Practice address
4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
(405) 604-0004
Mailing address
4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
(405) 604-0004
(405) 604-0235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980380A
—
OK
Enumeration date
08/12/2025
Last updated
08/14/2025
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