| Woods Family Medicine Pllc | |
|
1510 Sw 119th St Oklahoma City OK 73170-4930 | |
| (573) 578-0638 | |
| Not Available |
| Full Name | Woods Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 Sw 119th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Abbey L Woods (OWNER, CEO) |
| Authorized Official Contact | 4053531460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woods Family Medicine Pllc 1510 Sw 119th St Oklahoma City OK 73170-4930 Ph: (405) 363-1460 | Woods Family Medicine Pllc 1510 Sw 119th St Oklahoma City OK 73170-4930 Ph: (573) 578-0638 |
| NPI Number | 1861977365 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 07/23/2022 |
| Medicare PECOS PAC ID | 8224373600 |
|---|---|
| Medicare Enrollment ID | O20181213002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861977365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Abbey Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417396516 PECOS PAC ID: 1052531555 Enrollment ID: I20160922001975 |
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