Most Relevant Information
Provider Data
| NPI Number: | 1003341967 |
| Provider Name: | FRU AZEH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2017 |
| Last Updated: | 04/27/2017 |
Provider Practice Location
8216 NW 83RD ST
OKLAHOMA CITY
OK
731323287
Practice Location Phone/Fax
| Phone: | 4054131727 |
| Fax: |
Provider Mailing Location
8216 NW 83RD ST
OKLAHOMA CITY
OK
731323287
Provider Mailing Phone/Fax
| Phone: | 4054131727 |
| Fax: |