Whole Human Life Pllc | |
3030 Nw Expressway, Suite 200 #536 Oklahoma City, OK 73112 | |
(888) 338-3408 | |
(909) 752-5458 |
Full Name | Whole Human Life Pllc |
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Speciality | Family Medicine |
Location | 3030 Nw Expressway, Suite 200 #536, Oklahoma City,, Oklahoma |
Authorized Official Name and Position | Deanna Windham (OWNER) |
Authorized Official Contact | 9099961905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Whole Human Life Pllc 3030 Nw Expressway, Suite 200 #536 Oklahoma City, OK 73112 Ph: (888) 338-3408 | Whole Human Life Pllc 3030 Nw Expressway, Suite 200 #536 Oklahoma City, OK 73112 Ph: (888) 338-3408 |
NPI Number | 1639810039 |
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Provider Enumeration Date | 04/07/2022 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
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1639810039 | NPI | - | NPPES |
200793340A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |