Organization
TERRAIN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY MCDONALD MD (CEO)
(580) 656-3188
Entity
Organization
Contact information
Practice address
2106 S CINCINNATI AVE APT C, TULSA, OK 74114-1253
(580) 656-3188
Mailing address
2106 S CINCINNATI AVE APT C, TULSA, OK 74114-1253
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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