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Organization
WELL AGAIN MHT LLC
Active
Organization
WELL AGAIN MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RADER M.D. (OWNER / PRESIDENT)
(972) 616-4932
Entity
Organization
Contact information
Practice address
1111 N LEE AVE, SUITE 310, OKLAHOMA CITY, OK 73103-2600
(405) 272-7452
Mailing address
1575 HERITAGE DR, SUITE 200, MCKINNEY, TX 75069-3288
(844) 493-5087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/31/2014
Last updated
04/19/2016
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