Provider Demographics
NPI:1245708957
Name:INTEGRIS AMBULATORY CARE CORPORATION
Entity type:Organization
Organization Name:INTEGRIS AMBULATORY CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-949-3774
Mailing Address - Street 1:7301 SW 44TH ST STE G
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73179-4308
Mailing Address - Country:US
Mailing Address - Phone:405-357-2600
Mailing Address - Fax:405-357-2601
Practice Address - Street 1:7301 SW 44TH ST STE G
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73179-4308
Practice Address - Country:US
Practice Address - Phone:405-357-2600
Practice Address - Fax:405-357-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation