NPI 1588896849

Matrix Network Management LLC

Organisation Exclusive Provider Organization Oklahoma City, OK

Practice location

Address: 409 E California Ave STE 210, Oklahoma City, OK 73104-4226
Phone: (405) 600-1290

Authorised official

Name: Thomas Fondren
Title: Managing Director
Phone: (405) 600-1290

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1588896849
Entity type: Organization
NPI issued: 19 Aug 2009
Record last updated: 19 Aug 2009

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.