# ABUNDANT WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abundant Wellness MD LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336690379
- **Authorized official:** LORETTA A. FARRELL MD (PRESIDENT)
- **Authorized official phone:** (918) 794-4652

## Contact information

- **Practice address:** 8787 N OWASSO EXPY, SUITE J, OWASSO, OK 74055-4444
- **Practice address phone:** (918) 516-2296
- **Practice address fax:** (918) 516-2965
- **Mailing address:** 8787 N OWASSO EXPY, SUITE J, OWASSO, OK 74055-4444
- **Mailing address phone:** (918) 516-2296
- **Mailing address fax:** (918) 516-2965

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 12/12/2016