| Halidom Phw Pllc | |
|
8333 Se 15th St Midwest City OK 73110-8145 | |
| (405) 299-8156 | |
| (405) 643-4279 |
| Full Name | Halidom Phw Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8333 Se 15th St, Midwest City, Oklahoma |
| Authorized Official Name and Position | Courtney Bowler (APRN) |
| Authorized Official Contact | 4052998156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halidom Phw Pllc 8333 Se 15th St Midwest City OK 73110-8145 Ph: (405) 299-8156 | Halidom Phw Pllc 8333 Se 15th St Midwest City OK 73110-8145 Ph: (405) 299-8156 |
| NPI Number | 1437045465 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437045465 | NPI | - | NPPES |
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