NPI 1003658162
Andre Favors
Practice location
- Address
- 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209
- Phone
- (405) 424-7711
- Mailing address
- 1808 Tumbleweed Ave, El Reno, OK 73036
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1003658162
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jun 2024
- Record last updated
- 10 Jun 2024
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.