Prophylaxis Primary Care and Behavioral Healthcare Services INC

NPI #1972178275 in Bixby, Oklahoma

Provider Information

NPI Number: 1972178275
Entity Type: Organization
Organization Name: Prophylaxis Primary Care and Behavioral Healthcare Services INC
Primary Specialty: Community/Behavioral Health
Enumeration Date: May 20, 2021
Last Updated: May 20, 2021

Practice Location

Address: 12816 S MEMORIAL DR UNIT 121
City: Bixby
State: Oklahoma
ZIP Code: 74008-2593
Phone: (918) 970-4719

Authorized Official

Name: ALBERT SANCHEZ
Title: CEO
Phone: (479) 263-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Community/Behavioral Health	251S00000X	Primary

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