| NPI | 1114519774 |
|---|---|
| Doing Business As | CHCNEO JAY FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET MENDEZ CEO 918-257-8029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |