Organization
GRACEHEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEY V JOHN MD (MEDICAL PROVIDER)
(469) 230-4700
Entity
Organization
Contact information
Practice address
18213 BODEGON RD, EDMOND, OK 73012-5905
(469) 230-4700
Mailing address
18213 BODEGON RD, EDMOND, OK 73012-5905
(469) 230-4700
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
27754
OK
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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