Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Public Health, Federal |
261QP0904X |
| NPI Number | 1952377939 |
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| LBN Legal business name | CHOCTAW NATION OF OKLAHOMA | ||||
| Authorized official | TERESA JACKSON - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/28/2006 | ||||
| Last updated | 08/21/2025 - About 10 months ago | ||||
| Identifiers |
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