| Williams Medical Group Practice, Llc | |
|
11462 S Union Ave Ste F Jenks OK 74037-6901 | |
| (918) 518-0220 | |
| (539) 664-9562 |
| Full Name | Williams Medical Group Practice, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 11462 S Union Ave Ste F, Jenks, 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 11462 S Union Ave Ste F Jenks OK 74037-6901 Ph: (918) 518-0220 |
| NPI Number | 1619740503 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619740503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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