NPI 1033696109
Team Clinics Ah LLC
Practice location
- Address
- 800 N Louisa Ave, Shawnee, OK 74801-5832
- Phone
- (405) 273-1846
- Mailing address
- 3112 Cooke Way, Oklahoma City, OK 73179-2401
Authorised official
- Name
- Trevor Nutt
- Title
- Ceo
- Phone
- (405) 546-4130
Registered specialties
Primary Care Clinic/Center
Primary
Registry record
- NPI
- 1033696109
- Entity type
- Organization
- NPI issued
- 23 Jul 2018
- Record last updated
- 18 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.