# CLINICAL SERVICES OF OKLAHOMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205435377
- **Authorized official:** TRAVIS BRETT WOLFF (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 227-2010

## Contact information

- **Practice address:** 14 S MISSION ST, SAPULPA, OK 74066-4634
- **Practice address phone:** (918) 227-2010
- **Practice address fax:** (918) 227-2843
- **Mailing address:** 14 S MISSION ST, SAPULPA, OK 74066-4634
- **Mailing address phone:** (918) 227-2010
- **Mailing address fax:** (918) 227-2843

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020