| Axiom Medical Solutions, Llc | |
|
14132 Se 134th St Oklahoma City OK 73165-7669 | |
| (405) 615-3245 | |
| Not Available |
| Full Name | Axiom Medical Solutions, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14132 Se 134th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Steven Troy Braudway (OWNER) |
| Authorized Official Contact | 4056153245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axiom Medical Solutions, Llc 14132 Se 134th St Oklahoma City OK 73165-7669 Ph: (405) 615-3245 | Axiom Medical Solutions, Llc 14132 Se 134th St Oklahoma City OK 73165-7669 Ph: (405) 615-3245 |
| NPI Number | 1164039632 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 7416363387 |
|---|---|
| Medicare Enrollment ID | O20210302000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164039632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Steven Troy Braudway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518401942 PECOS PAC ID: 0749567030 Enrollment ID: I20170516001514 |
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