OrganizationActive
Acacia Medical Group
NPI 1851400659 · Family Medicine Physician · Broken Arrow, OK
Provider details
- NPI number
- 1851400659
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keith Whitehouse, Administrator/Secretary(918) 258-2641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2010 W Houston St
Broken Arrow, OK 74012-8303
Phone: (918) 258-2641
Fax: (918) 259-1905
Approximate (ZIP-level) locationGet directions
Mailing address
2010 W Houston St
Broken Arrow, OK 74012-8303
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.