| Gilead Telehealth | |
|
200 Vicksburg Ave Apt M2 Norman OK 73071-2479 | |
| (240) 551-3447 | |
| (405) 217-2058 |
| Full Name | Gilead Telehealth |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Vicksburg Ave Apt M2, Norman, Oklahoma |
| Authorized Official Name and Position | Magdaline Etawu Epie (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2405513447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Telehealth 200 Vicksburg Ave Apt M2 Norman OK 73071-2479 Ph: (240) 551-3447 | Gilead Telehealth 200 Vicksburg Ave Apt M2 Norman OK 73071-2479 Ph: (240) 551-3447 |
| NPI Number | 1881364594 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881364594 | NPI | - | NPPES |
| EIN | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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