Organization
DIVERSITY FAMILY HEALTH PLLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE COOPER M.D. (PHYSICIAN)
(405) 848-0026
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE STE 606, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026
(800) 490-9811
Mailing address
1211 N SHARTEL AVE STE 606, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
10/13/2019
Last updated
10/13/2019
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