| Revolution Health & Wellness Clinic Pllc | |
|
12142 S Yukon Ave Glenpool OK 74033-6621 | |
| (918) 935-3636 | |
| (918) 935-3635 |
| Full Name | Revolution Health & Wellness Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 12142 S Yukon Ave, Glenpool, Oklahoma |
| Authorized Official Name and Position | Chad Preston Edwards (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9189353636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Health & Wellness Clinic Pllc 2865 E Skelly Dr Ste 300 Tulsa OK 74105-6233 Ph: (918) 935-3636 | Revolution Health & Wellness Clinic Pllc 12142 S Yukon Ave Glenpool OK 74033-6621 Ph: (918) 935-3636 |
| NPI Number | 1649515446 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649515446 | NPI | - | NPPES |
| 1790833481 | Other | OK | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4353 (Oklahoma) | Primary |
Glenpool Family Clinic A Prof Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14226 So Elm, Glenpool, OK 74033 Phone: 918-322-9510 Fax: 918-322-9753 | |
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Bedside Manner Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 W 125th Pl S Ste 202, Glenpool, OK 74033 Phone: 918-528-5500 Fax: 918-518-5730 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14226 S Elm St, Glenpool, OK 74033 Phone: 918-561-8306 Fax: 918-561-5747 | |
Transformation Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12142 S Yukon Ave, Glenpool, OK 74033 Phone: 918-935-3636 Fax: 918-296-7934 | |
John C. Friedl, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13809 S Casper St Ste D, Glenpool, OK 74033 Phone: 918-291-2323 Fax: 918-291-2320 |