Organization
HOUSECALLS TRANSITIONAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY WALTER BAKER (CEO)
(405) 409-6277
Entity
Organization
Contact information
Practice address
4311 S PROSPECT, OKLAHOMA CITY, OK 73129
(405) 409-6277
Mailing address
4311 S PROSPECT, OKLAHOMA CITY, OK 73129
(405) 409-6277
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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