NPI 1104670884 · live from the CMS NPI Registry
Advanced Family Care, PLLC
Family Medicine in Tulsa, OK. National Provider Identifier 1104670884, active.
NPI record
| NPI | 1104670884 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 9320 S Mingo Rd, Tulsa, OK 74133 |
| Practice phone | 918-901-9701 |
| Enumerated | April 17, 2024 |
| Last updated | May 18, 2024 |
| Authorized official | Kenneth Reed, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.