NPI 1033696968
Team Clinics Ah LLC
Practice location
- Address
- 1111 N Kennedy Ave STE B, Shawnee, OK 74801-4712
- Phone
- (405) 600-6869
- 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
- 1033696968
- Entity type
- Organization
- NPI issued
- 24 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.