| NPI | 1922189729 |
|---|---|
| Doing Business As | BOULEVARD FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | T DENISE CATO Owner Administrator 405-470-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-03-14 |