Graduated: 2017
NPI: 1629504683
Practice Locations (2)
ICO PRIMARY CARE, LLC
1664 S CHOCTAW RD, SUITE 101
CHOCTAW, OK 730206767
4056006869
IMMEDIATE CARE OF OKLAHOMA LLC
805 W COVELL RD, SUITE 200
EDMOND, OK 730032177
4052165373
Source: CMS National Downloadable File, September 2026.