Most Relevant Information
Provider Data
| NPI Number: | 1003248949 |
| Provider Name: | PATCHES RAZO |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2013 |
| Last Updated: | 08/02/2013 |
Provider Practice Location
1101 E MONROE AVE
MCALESTER
OK
745014815
Practice Location Phone/Fax
| Phone: | 9184267800 |
| Fax: |
Provider Mailing Location
1101 E MONROE AVE
MCALESTER
OK
745014815
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |