| The Family Pro, Pllc | |
|
425 E 22nd St Ste 103e Owasso OK 74055-4492 | |
| (918) 938-5474 | |
| Not Available |
| Full Name | The Family Pro, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 425 E 22nd St Ste 103e, Owasso, Oklahoma |
| Authorized Official Name and Position | James Baumgardner (OWNER) |
| Authorized Official Contact | 9189385474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Pro, Pllc 425 E 22nd St Ste 103e Owasso OK 74055-4492 Ph: () - | The Family Pro, Pllc 425 E 22nd St Ste 103e Owasso OK 74055-4492 Ph: (918) 938-5474 |
| NPI Number | 1033957956 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033957956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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