| Reliant Health & Wellness Pllc | |
|
822 W Randolph Ave Enid OK 73701-3834 | |
| (580) 599-0272 | |
| (580) 603-8602 |
| Full Name | Reliant Health & Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 822 W Randolph Ave, Enid, Oklahoma |
| Authorized Official Name and Position | Jonathan K Bushman (OWNER) |
| Authorized Official Contact | 5805990272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Health & Wellness Pllc 822 W Randolph Ave Enid OK 73701-3834 Ph: (580) 599-0272 | Reliant Health & Wellness Pllc 822 W Randolph Ave Enid OK 73701-3834 Ph: (580) 599-0272 |
| NPI Number | 1114495785 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 09/19/2021 |
| Medicare PECOS PAC ID | 5496092892 |
|---|---|
| Medicare Enrollment ID | O20190123002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114495785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316946361 PECOS PAC ID: 0648268441 Enrollment ID: I20040501000443 |
| Provider Name | Andrea E Mceachern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114105640 PECOS PAC ID: 2365589272 Enrollment ID: I20091028000690 |
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