| NPI | 1053732784 |
|---|---|
| Doing Business As | TRI CITY FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | JERAMIAH WALKER Owner 405-387-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0073208) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2013-12-24 |