Organization
PROPHYLAXIS PRIMARY CARE AND BEHAVIORAL HEALTHCARE SERVICES INC
Active
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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