| Team Clinics Ah Llc | |
|
1801 W Locust St Stilwell OK 74960-3259 | |
| (405) 546-4130 | |
| Not Available |
| Full Name | Team Clinics Ah Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1801 W Locust St, Stilwell, 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 1801 W Locust St Stilwell OK 74960-3259 Ph: (405) 546-4130 |
| NPI Number | 1326822586 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326822586 | NPI | - | NPPES |
| 200920640 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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