| Oklahoma Wellness Group Llc | |
|
14101 North Esatern Avenue Suite B Edmond OK 73013 | |
| (405) 513-6655 | |
| (405) 513-6589 |
| Full Name | Oklahoma Wellness Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14101 North Esatern Avenue Suite B, Edmond, Oklahoma |
| Authorized Official Name and Position | William G Reilly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8174103800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Wellness Group Llc 1920 East State Highway 114 Southlake TX 76092 Ph: (817) 410-3800 | Oklahoma Wellness Group Llc 14101 North Esatern Avenue Suite B Edmond OK 73013 Ph: (405) 513-6655 |
| NPI Number | 1578031571 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578031571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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