| NPI | 1013277979 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | BRET RICE HAYMORE Medical Director 405-563-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 28286) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-07-23 |