Basic Information
| Provider Information | |||||||||
| NPI: | 1306955257 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WESTBROOK FAMILY PHYSICIANS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1208 SW 15TH | ||||||||
| Address2: | |||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053402100 | ||||||||
| FaxNumber: | 4053401184 | ||||||||
| Practice Location | |||||||||
| Address1: | 1208 SW 15TH | ||||||||
| Address2: | |||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053402100 | ||||||||
| FaxNumber: | 4053401184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 02/06/2008 | ||||||||
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| AuthorizedOfficialLastName: | DAVIS | ||||||||
| AuthorizedOfficialFirstName: | FRANK | ||||||||
| AuthorizedOfficialMiddleName: | CLEO | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4053402100 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD PA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.