Organization
TERA EGLESTON CHIROPRACTIC CLINIC PC
Active
Other names
Tera M Egleston DC
Organization subpart
No
Provider details
NPI number
Authorized official
TERA MARCHELLE EGLESTON DC (DOCTOR OWNER)
(918) 274-2911
Entity
Organization
Contact information
Practice address
9100 N GARNETT RD, SUITE I, OWASSO, OK 74055
(918) 274-2911
(918) 274-2911
Mailing address
PO BOX 1161, OWASSO, OK 74055
(918) 274-2911
(918) 274-2911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3469
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446821654002
BCBS
OK
Enumeration date
09/21/2006
Last updated
08/22/2020
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