# SAINTS MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saints Wewoka Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356676050
- **Authorized official:** KATY BAIN (CLIENT ACCOUNT REPRESENTATIVE)
- **Authorized official phone:** (405) 231-3817

## Contact information

- **Practice address:** 1509 S INDIAN RD, WEWOKA, OK 74884-9781
- **Practice address phone:** (405) 257-6272
- **Practice address fax:** (405) 257-6273
- **Mailing address:** PO BOX 248865, OKLAHOMA CITY, OK 73124-8865
- **Mailing address phone:** (405) 257-6272
- **Mailing address fax:** (405) 257-6273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2762 | OK | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009
