| Terrain Medical Llc | |
|
2106 S Cincinnati Ave Apt C Tulsa OK 74114-1253 | |
| (580) 656-3188 | |
| Not Available |
| Full Name | Terrain Medical Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2106 S Cincinnati Ave Apt C, Tulsa, Oklahoma |
| Authorized Official Name and Position | Zachary Mcdonald (CEO) |
| Authorized Official Contact | 5806563188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrain Medical Llc 2106 S Cincinnati Ave Apt C Tulsa OK 74114-1253 Ph: () - | Terrain Medical Llc 2106 S Cincinnati Ave Apt C Tulsa OK 74114-1253 Ph: (580) 656-3188 |
| NPI Number | 1932944063 |
|---|---|
| Provider Enumeration Date | 06/29/2024 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932944063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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