| Ace | |
|
3013 N Highway 167 Suite A Catoosa OK 74015-3338 | |
| (918) 645-0578 | |
| Not Available |
| Full Name | Ace |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3013 N Highway 167, Catoosa, Oklahoma |
| Authorized Official Name and Position | Reece B. Morrel (AUTHORIZED AGENT) |
| Authorized Official Contact | 9186640800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace 3013 N Highway 167 Suite A Catoosa OK 74015-3338 Ph: (918) 645-0578 | Ace 3013 N Highway 167 Suite A Catoosa OK 74015-3338 Ph: (918) 645-0578 |
| NPI Number | 1801344841 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801344841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5900 (Oklahoma) | Primary |
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