Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broken Arrow Family Practice Center

Organization Family Medicine Physician · NPI 1659405488

Broken Arrow Family Practice Center provides Family Medicine Physician services in Broken Arrow, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

817 S Elm Pl Ste A
Broken Arrow, OK 74012-5369 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 251-2273
Fax: (918) 258-6446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1659405488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Holte — Owner · (918) 251-2273
NPI enumeratedMarch 15, 2007
Last updated in NPPESJune 27, 2008
Mailing address817 S Elm Pl Ste A, Broken Arrow, OK 74012-5369

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