Aspyre Medical And Wellness Pllc | |
1323 N 16th Ave Durant OK 74701-2134 | |
(641) 842-2151 | |
Not Available |
Full Name | Aspyre Medical And Wellness Pllc |
---|---|
Speciality | Family Medicine |
Location | 1323 N 16th Ave, Durant, Oklahoma |
Authorized Official Name and Position | Asghar Ali (OWNER) |
Authorized Official Contact | 6418422151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aspyre Medical And Wellness Pllc 815 Gerlach Dr Apt 1026 Durant OK 74701-2574 Ph: (641) 842-2151 | Aspyre Medical And Wellness Pllc 1323 N 16th Ave Durant OK 74701-2134 Ph: (641) 842-2151 |
NPI Number | 1689306623 |
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Provider Enumeration Date | 06/28/2022 |
Last Update Date | 10/11/2022 |
Medicare PECOS PAC ID | 9032585500 |
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Medicare Enrollment ID | O20221025001634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689306623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Asghar Ali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376070383 PECOS PAC ID: 2961771928 Enrollment ID: I20210303001158 |
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