# RECENTER MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOLF CREEK MANAGEMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942198189
- **Legal business name:** WOLF CREEK MANAGEMENT
- **Authorized official:** KIMBERLY K MYERS (MANAGER)
- **Authorized official phone:** (405) 506-9101

## Contact information

- **Practice address:** 1728 PROFESSIONAL CIR, YUKON, OK 73099-6470
- **Practice address phone:** (405) 265-2733
- **Practice address fax:** (405) 265-2926
- **Mailing address:** 18609 WOLF CREEK DR, EDMOND, OK 73012-4100
- **Mailing address phone:** (405) 664-7746

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 03/19/2026