# EAST WEST INTEGRATED CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maplebrook Acupuncture Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407462732
- **Authorized official:** MRS. ILDIKO BERCAK (OWNER)
- **Authorized official phone:** (941) 993-6299

## Contact information

- **Practice address:** 6703 E 81ST ST STE J, TULSA, OK 74133-4157
- **Practice address phone:** (918) 814-7650
- **Practice address fax:** (844) 249-7650
- **Mailing address:** 1100 W TUCSON ST APT 801, BROKEN ARROW, OK 74011-7246
- **Mailing address phone:** (918) 814-7650
- **Mailing address fax:** (844) 249-7650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020