| Williams Medical Group Practice, Llc | |
|
12190 S Waco Ave Ste C Glenpool OK 74033-5661 | |
| (918) 936-2882 | |
| Not Available |
| Full Name | Williams Medical Group Practice, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 12190 S Waco Ave Ste C, Glenpool, Oklahoma |
| Authorized Official Name and Position | Grant Asay (CEO) |
| Authorized Official Contact | 4054451210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Medical Group Practice, Llc 701 Cedar Lake Blvd Ste 120 Oklahoma City OK 73114-7815 Ph: (405) 445-1210 | Williams Medical Group Practice, Llc 12190 S Waco Ave Ste C Glenpool OK 74033-5661 Ph: (918) 936-2882 |
| NPI Number | 1821867557 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821867557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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