| Team Clinics Ah Llc | |
|
1000 36th Ave Se Norman OK 73026-4134 | |
| (405) 724-2030 | |
| Not Available |
| Full Name | Team Clinics Ah Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1000 36th Ave Se, Norman, Oklahoma |
| Authorized Official Name and Position | Trevor Allen Nutt (CEO) |
| Authorized Official Contact | 4056016767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Clinics Ah Llc 3112 Cooke Way Oklahoma City OK 73179-2401 Ph: () - | Team Clinics Ah Llc 1000 36th Ave Se Norman OK 73026-4134 Ph: (405) 724-2030 |
| NPI Number | 1588496665 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588496665 | NPI | - | NPPES |
| 200782030 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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