# AERIE FAMILY WELLNESS & MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Family Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184744203
- **Authorized official:** DR. VERNON C SMITH D.C. (SECRETARY)
- **Authorized official phone:** (918) 836-6454

## Contact information

- **Practice address:** 3242 E ADMIRAL PL, TULSA, OK 74110-5536
- **Practice address phone:** (918) 836-6454
- **Practice address fax:** (918) 836-6455
- **Mailing address:** 3242 E ADMIRAL PL, TULSA, OK 74110-5536
- **Mailing address phone:** (918) 836-6454
- **Mailing address fax:** (918) 836-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9483 | OK | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1316981004 | NPI | OK |