# CHOCTAW WELLNESS ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choctaw After-Hours
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346441896
- **Authorized official:** LORRIE A. CARPENTER (OWNER)
- **Authorized official phone:** (405) 390-9600

## Contact information

- **Practice address:** 15803 NE 23RD ST, CHOCTAW, OK 73020-8428
- **Practice address phone:** (405) 390-9600
- **Practice address fax:** (405) 390-9400
- **Mailing address:** PO BOX 10, CHOCTAW, OK 73020-0010
- **Mailing address phone:** (405) 390-9600
- **Mailing address fax:** (405) 390-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18237 | OK | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 08/22/2020
