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Organization

PROPHYLAXIS PRIMARY CARE AND BEHAVIORAL HEALTHCARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT SANCHEZ (CEO)
(479) 263-2690
Entity
Organization

Contact information

Practice address
12816 S MEMORIAL DR UNIT 121, BIXBY, OK 74008-2593
(918) 970-4719
Mailing address
PO BOX 334, BIXBY, OK 74008-0334
(918) 970-4719

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
05/20/2021
Last updated
05/20/2021
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