Organization
NORTHEAST OKLAHOMA CLINICAL PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX WALK FACHE (CHIEF EXECUTIVE OFFICER)
(918) 256-7551
Entity
Organization
Contact information
Practice address
735 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-0252
Mailing address
PO BOX 3096, DEPT 525, TULSA, OK 74101-3096
(918) 256-0252
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2182
OK
Other
Enumeration date
01/22/2009
Last updated
06/13/2011
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