# WORTH AUDIOLOGY PLLC

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

## Provider details

- **NPI number:** 1861159964
- **Authorized official:** JESSICA WORTH AUD (OWNER)
- **Authorized official phone:** (918) 516-1919

## Contact information

- **Practice address:** 10512 N 110TH EAST AVE STE 220, OWASSO, OK 74055-6638
- **Practice address phone:** (918) 516-1919
- **Practice address fax:** (539) 664-7792
- **Mailing address:** 10512 N 110TH EAST AVE STE 220, OWASSO, OK 74055-6638
- **Mailing address phone:** (918) 516-1919
- **Mailing address fax:** (539) 664-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 11/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200327260A | — | OK |