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NPI Code Detail

MEDICARE: INTEGRIS AMBULATORY CARE CORPORATION

MEDICARE: INTEGRIS AMBULATORY CARE CORPORATION
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1114432507
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRIS AMBULATORY CARE CORPORATION
Provider Business Mailing Address
First Line : PO BOX 843754
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-3754
Country : US
Telephone Number : 405-252-8400
Fax Number :
Provider Business Practice Location Address
First Line : 7301 SW 44TH ST STE A
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-4309
Country : US
Telephone Number : 405-357-3500
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : MICHAEL L WEED
Credential :
Telephone Number : 405-951-2737
Provider Enumeration Date : 12/06/2017
Last Update Date : 11/06/2025

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Directions to “INTEGRIS AMBULATORY CARE CORPORATION ” Practice Location

Language Start Address Practice Location
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