Organization
TRIAD COMPLETE HEALTHCARE A10 LLC
Active
Other names
Triad Complete Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WINEGARDNER (AUTHORIZED OFFICIAL)
(405) 613-9720
Entity
Organization
Contact information
Practice address
4151 N HARRISON, SHAWNEE, OK 74804
(405) 613-9720
Mailing address
20228 RED OAK CT, TECUMSEH, OK 74873-7131
(405) 613-9720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
02/05/2024
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