| Brighter Days Wba | |
|
1402 W Main St Antlers OK 74523-2059 | |
| (580) 209-6111 | |
| (580) 209-6179 |
| Full Name | Brighter Days Wba |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1402 W Main St, Antlers, Oklahoma |
| Authorized Official Name and Position | George Allen Pate (PRESIDENT) |
| Authorized Official Contact | 5803726572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Days Wba 432057 State Highway 3 Fort Towson OK 74735-7506 Ph: (580) 372-6572 | Brighter Days Wba 1402 W Main St Antlers OK 74523-2059 Ph: (580) 209-6111 |
| NPI Number | 1982366761 |
|---|---|
| Provider Enumeration Date | 10/09/2021 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 1557755964 |
|---|---|
| Medicare Enrollment ID | O20220301001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982366761 | NPI | - | NPPES |
| Provider Name | Ruby Runee Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399450 PECOS PAC ID: 5597024661 Enrollment ID: I20180117002652 |
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