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NPI Code Detail

MEDICARE: TODAY CLINIC PLLC

MEDICARE: TODAY CLINIC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1750755583
Entity Type Code : Organization
Provider Name (Legal Business Name) : TODAY CLINIC PLLC
Provider Business Mailing Address
First Line : 701 NE 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-7203
Country : US
Telephone Number : 405-631-0611
Fax Number : 405-631-0811
Provider Business Practice Location Address
First Line : 1317 SE 44TH ST
Second Line : SUITE I
City : OKLAHOMA CITY
State : OK
Zip : 73129-6906
Country : US
Telephone Number : 405-631-0611
Fax Number : 405-631-0811
Authorized Official
Title or Position : MEMBER
Name : BRETT CAUTHEN
Credential :
Telephone Number : 405-631-0611
Provider Enumeration Date : 11/17/2015
Last Update Date : 11/17/2015

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Directions to “TODAY CLINIC PLLC ” Practice Location

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