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

Phoenix Primary Care, LLC

Organization Primary Care Clinic/Center · NPI 1952890337

Phoenix Primary Care, LLC is a Primary Care Clinic/Center in Pawnee, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

557 Harrison St
Pawnee, OK 74058-2566
Phone: (918) 762-5050
Fax: (877) 515-8550
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1952890337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niko Koliastasis — Ceo · (918) 636-3930
NPI enumeratedMay 1, 2018
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address209 N Oak St, Sallisaw, OK 74955-4639