Organization
CRESCENT POST ACUTE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAQAS HUSSAIN (BILLING MANAGER)
(405) 796-8367
Entity
Organization
Contact information
Practice address
1111 N LEE AVE STE 249, OKLAHOMA CITY, OK 73103-2600
(405) 594-5848
(405) 716-4808
Mailing address
601 NW 160TH ST, EDMOND, OK 73013-1025
(405) 796-8367
(405) 716-4808
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200499530A
—
OK
Enumeration date
04/29/2022
Last updated
04/29/2022
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