Basic Information
Provider Information
NPI: 1730172933
EntityType: 2
ReplacementNPI:  
OrganizationName: INTEGRIS RURAL HEALTH INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: CHRISTOPHER D SCHULTZ DO CLINIC
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 960242
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731960242
CountryCode: US
TelephoneNumber: 5805481367
FaxNumber: 5805481583
Practice Location
Address1: 401 E OKLAHOMA AVE
Address2: STE A
City: ENID
State: OK
PostalCode: 737015800
CountryCode: US
TelephoneNumber: 5802334353
FaxNumber: 5802332106
Other Information
ProviderEnumerationDate: 08/24/2005
LastUpdateDate: 10/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WEINMEISTER
AuthorizedOfficialFirstName: OSCAR
AuthorizedOfficialMiddleName: K
AuthorizedOfficialTitleorPosition: PRESIDENT RURAL HEALTH
AuthorizedOfficialTelephone: 4059512616
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix: JR.
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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