Passport Health of Oklahoma
NPI #1861868259 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1861868259
- Entity Type
- Organization
- Organization Name
- Passport Health of Oklahoma
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 3000 UNITED FOUNDERS BLVD
- Address 2
- SUITE 137
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-3958
- Phone
- (405) 563-8961
Authorized Official
- Name
- EMILY SUE HICKS, M.S., RDN, LD
- Title
- DIETITIAN
- Phone
- (405) 606-1086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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