Organization
EDWARD TIMOTHY OKELLEY MD PC
Active
Other names
PalliCare
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN FLUHART (CEO)
(972) 632-9642
Entity
Organization
Contact information
Practice address
5803 STONERIDGE DR, TEXARKANA, TX 75503-1461
(972) 632-9642
Mailing address
5803 STONERIDGE DR, TEXARKANA, TX 75503-1461
(972) 632-9642
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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