# BLISS FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1407707110
- **Authorized official:** DR. THERON BLISS DO (OWNER)
- **Authorized official phone:** (918) 640-4776

## Contact information

- **Practice address:** 550 W 125TH PL S STE 300, GLENPOOL, OK 74033-5033
- **Practice address phone:** (918) 640-4776
- **Mailing address:** 12704 S 4TH ST, JENKS, OK 74037-5089

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2026
- **Last updated:** 02/07/2026