| NPI | 1972052983 |
|---|---|
| Doing Business As | TAHLEQUAH FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SCOTT ROSENTHAL CEO 918-772-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2020-06-09 |