Provider Demographics
NPI:1083750889
Name:AFFORDABLE FAMILY HEALTH CARE INC
Entity Type:Organization
Organization Name:AFFORDABLE FAMILY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP-C
Authorized Official - Phone:918-786-9587
Mailing Address - Street 1:19 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-7034
Mailing Address - Country:US
Mailing Address - Phone:918-786-9587
Mailing Address - Fax:918-786-9927
Practice Address - Street 1:19 E 3RD ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-7034
Practice Address - Country:US
Practice Address - Phone:918-786-9587
Practice Address - Fax:918-786-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0071124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty