Provider Demographics
NPI:1528417789
Name:PERRY, FRANCES
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 N CLASSEN BLVD
Mailing Address - Street 2:105
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2685
Mailing Address - Country:US
Mailing Address - Phone:405-524-2424
Mailing Address - Fax:405-525-3677
Practice Address - Street 1:4001 N CLASSEN BLVD
Practice Address - Street 2:105
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2685
Practice Address - Country:US
Practice Address - Phone:405-524-2424
Practice Address - Fax:405-525-3677
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management