Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Public Health, Federal |
261QP0904X |
| NPI # | 1306384821 |
| LBN Legal business name | CHOCTAW NATION OF OKLAHOMA |
| Authorized official | TERESA JACKSON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/03/2017 |
| Last updated | 01/16/2024 - About 2 years ago |
| Identifiers | n/a |
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CHOCTAW NATION OF OKLAHOMA
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