| Abundant Wellness Md Llc | |
|
8787 N Owasso Expy Suite J Owasso OK 74055-4444 | |
| (918) 516-2296 | |
| (918) 516-2965 |
| Full Name | Abundant Wellness Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8787 N Owasso Expy, Owasso, Oklahoma |
| Authorized Official Name and Position | Loretta A. Farrell (PRESIDENT) |
| Authorized Official Contact | 9187944652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Wellness Md Llc 8787 N Owasso Expy Suite J Owasso OK 74055-4444 Ph: (918) 516-2296 | Abundant Wellness Md Llc 8787 N Owasso Expy Suite J Owasso OK 74055-4444 Ph: (918) 516-2296 |
| NPI Number | 1336690379 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 5799068078 |
|---|---|
| Medicare Enrollment ID | O20170210002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336690379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
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