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12324 E 86th St N Owasso OK 74055-2543 | |
(972) 367-4845 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 12324 E 86th St N, Owasso, Oklahoma |
Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | 12324 E 86th St N Owasso OK 74055-2543 Ph: (972) 367-4845 |
NPI Number | 1952076432 |
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Provider Enumeration Date | 08/16/2021 |
Last Update Date | 02/20/2023 |
Identifier | Type | State | Issuer |
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1952076432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Php Ok Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8787 N Owasso Expy Ste J, Owasso, OK 74055 Phone: 918-516-2296 Fax: 918-516-2801 | |
Pacific Physician Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 S Main St, Owasso, OK 74055 Phone: 918-274-9999 Fax: 918-274-1094 | |
Oklahoma Kids Pediatrics, Sara Buntin, Aprn-cpnp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13600 E 86th St N Ste 200, Owasso, OK 74055 Phone: 918-609-5700 | |
Advanced Orthopedics Of Oklahoma Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 E 5th Ave Ste 103, Owasso, OK 74055 Phone: 918-609-8088 Fax: 918-927-3201 | |