Broken Arrow Family Practice Center

LBN: Broken Arrow Family Practice Center
Broken Arrow Family Practice Center is an health care organization with primary practice located at 817 S Elm Pl Ste A , Broken Arrow OK 74012-5369. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Broken Arrow Family Practice Center can be contacted via phone (918) 251-2273, or through Holte, Douglas via phone (918) 251-2273.

Contact Information

Primary practice address
817 S Elm Pl Ste A Broken Arrow OK 74012-5369
Phone: (918) 251-2273
Fax: (918) 258-6446
Website:
Map and Directions
Authorized official contact:
Name: Holte, Douglas Doctor of Medicine (MD)
Phone: (918) 251-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659405488
LBN Legal business name Broken Arrow Family Practice Center
DBA Doing business as
Authorized official Holte, Douglas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659405488 NPPES
Oklahoma MEDICAID 100172440D
Oklahoma Other P00389602

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