# BEDSIDE MANNER LLC

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

## Provider details

- **NPI number:** 1336983899
- **Authorized official:** TRAVIS WOLFF (CEO)
- **Authorized official phone:** (918) 528-5500

## Contact information

- **Practice address:** 550 W 125TH PL S STE 202, GLENPOOL, OK 74033-5026
- **Practice address phone:** (918) 528-5500
- **Mailing address:** 303 E A ST, JENKS, OK 74037-4285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 09/02/2026