Organization
GROW WELL HEALTH LLC
Active
Other names
Grow Well Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CLARK (CEO)
(918) 930-6689
Entity
Organization
Contact information
Practice address
5840 S MEMORIAL DR STE 301, TULSA, OK 74145-9082
(918) 930-6689
Mailing address
5840 S MEMORIAL DR STE 301, TULSA, OK 74145-9082
(918) 930-6689
(918) 921-8824
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
01/05/2026
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