| Ajwj Group LLC | |
|
1700 Teakwood Cir Norman OK 73071-2095 | |
| (405) 366-7184 | |
| (405) 366-7184 |
| Full Name | Ajwj Group LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1700 Teakwood Cir, Norman, Oklahoma |
| Authorized Official Name and Position | Andrea James (PRESIDENT) |
| Authorized Official Contact | 4053667184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajwj Group LLC 1700 Teakwood Cir Norman OK 73071-2095 Ph: (405) 366-7184 | Ajwj Group LLC 1700 Teakwood Cir Norman OK 73071-2095 Ph: (405) 366-7184 |
| NPI Number | 1912138538 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912138538 | NPI | - | NPPES |
| 200208470A | Medicaid | OK | |
| 200256860A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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