Organization
EBENEZERTELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GEORGE (OWNER)
(405) 447-0300
Entity
Organization
Contact information
Practice address
5625 NW 130TH ST, OKLAHOMA CITY, OK 73142-6085
(405) 349-8188
(718) 640-2713
Mailing address
5625 NW 130TH ST, OKLAHOMA CITY, OK 73142-6085
(405) 501-6154
(718) 640-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
07/24/2026
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