Organization
MODERN MINDCARE PLLC
Active
Organization
MODERN MINDCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYVONNE GRAY MD (OWNER)
(405) 633-2496
Entity
Organization
Contact information
Practice address
1985 W 33RD ST, EDMOND, OK 73013-3875
(405) 633-2496
(224) 935-4482
Mailing address
1985 W 33RD ST, EDMOND, OK 73013-3875
(405) 633-2496
(224) 935-4482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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