NPI: 1316671555 · OKLAHOMA CITY, OK 73116 · Primary Care Clinic/Center · NPI assigned 07/13/2022
| Authorized Official | MBA-ETUGE, RITA (OWNER/PROVIDER) |
| NPI Enumeration Date | 07/13/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 72 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 72 | 68 | $8K |