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Organization
HUMAN PERFORMANCE CENTER 3 PLLC
Active
Organization
HUMAN PERFORMANCE CENTER 3 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRAD HADA (PARTNER/THERAPIST)
(580) 327-3331
Entity
Organization
Contact information
Practice address
520 FLYNN ST, ALVA, OK 73717-2240
(580) 327-3331
(580) 327-3314
Mailing address
PO BOX 26243, OKLAHOMA CITY, OK 73126-0243
(580) 327-3331
(580) 327-3314
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800522226
MEDICARE PTAN
OK
Enumeration date
03/16/2007
Last updated
07/02/2019
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