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2033 W. Houston Street Broken Arrow OK 74012 | |
(405) 537-9101 | |
(918) 512-4823 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2033 W. Houston Street, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Kassie Ann Allison (OWNER) |
Authorized Official Contact | 9184041535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2033 W Houston Street Broken Arrow OK 74012 Ph: (405) 537-9101 | 2033 W. Houston Street Broken Arrow OK 74012 Ph: (405) 537-9101 |
NPI Number | 1316350036 |
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Provider Enumeration Date | 06/10/2014 |
Last Update Date | 07/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316350036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S 9th St, Broken Arrow, OK 74012 Phone: 405-546-4130 | |
Wellspring Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 N. Birch Ave, Broken Arrow, OK 74012 Phone: 918-461-0422 Fax: 918-461-0428 | |
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