# MYHEALTH GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MyHealth Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104687177
- **Authorized official:** MR. MATTHEW DYER (PARTNER)
- **Authorized official phone:** (918) 808-5629

## Contact information

- **Practice address:** 1601 N BROADWAY AVE, ADA, OK 74820-1403
- **Practice address phone:** (405) 594-0191
- **Mailing address:** 8131 S MEMORIAL DR, TULSA, OK 74133-4347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024
