Whalio Doctors

NPI 1033696968

Team Clinics Ah LLC

Organisation Primary Care Clinic/Center Shawnee, OK

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
Ambulatory Health Care Facilities Taxonomy 261QP2300X

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.