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Ryian Crenshaw
Point of Service in Ponca City, Oklahoma
NPI 1639565153

Ryian Crenshaw is a Point of Service based in Ponca City, OK. Ryian Crenshaw practices in Ponca City, OK. The NPI Number for Ryian Crenshaw is 1639565153 and holds a License No. 1069 (Oklahoma).

The current practice location address for Ryian Crenshaw is 410 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-749-4227.

Location: 410 Fairview Ave, Ponca City, OK, 74601-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639565153
Provider Name
Ryian Crenshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
410 Fairview Ave, Ponca City, OK, 74601-1922
Phone Number
580-749-4227
Fax Number
Provider Enumeration Date
04/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1922
Phone Number
580-749-4227
Fax Number
person
Provider Business Mailing Address Details
Address
410 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1922
Phone Number
580-749-4227
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
1069 (Oklahoma)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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