| Onesource Practitioners, Llc | |
|
609 W Memorial Rd Oklahoma City OK 73114-2006 | |
| (405) 418-5400 | |
| Not Available |
| Full Name | Onesource Practitioners, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 609 W Memorial Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kimberly Bryan (OWNER / NURSE PRACTITIONER) |
| Authorized Official Contact | 4059197345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onesource Practitioners, Llc 510 E Memorial Rd Ste D4 Oklahoma City OK 73114-2218 Ph: (405) 227-9440 | Onesource Practitioners, Llc 609 W Memorial Rd Oklahoma City OK 73114-2006 Ph: (405) 418-5400 |
| NPI Number | 1609331891 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609331891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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