Provider Demographics
NPI:1932462603
Name:PRECISION HEALTH SERVICES INC/URGENT CARE
Entity Type:Organization
Organization Name:PRECISION HEALTH SERVICES INC/URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSOLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSIKAK
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, MHR, LPCC
Authorized Official - Phone:405-623-1117
Mailing Address - Street 1:7250 NW EXPRESSWAY STE 202
Mailing Address - Street 2:
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1522
Mailing Address - Country:US
Mailing Address - Phone:405-795-2665
Mailing Address - Fax:405-525-0515
Practice Address - Street 1:7250 NW EXPRESSWAY STE 202
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1522
Practice Address - Country:US
Practice Address - Phone:405-795-2665
Practice Address - Fax:405-525-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center