Organization
OKLAHOMA HEALTH AND WELLNESS 97
Active
Other names
oklahoma health and wellness 97
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA MOORE (MANAGER)
(405) 942-5513
Entity
Organization
Contact information
Practice address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1662
(405) 942-5513
(405) 943-1661
Mailing address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1662
(405) 942-5513
(405) 943-1661
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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