| Choctaw Wellness Enterprises, Llc | |
|
15803 Ne 23rd St Choctaw OK 73020-8428 | |
| (405) 390-9600 | |
| (405) 390-9400 |
| Full Name | Choctaw Wellness Enterprises, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15803 Ne 23rd St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Lorrie A. Carpenter (OWNER) |
| Authorized Official Contact | 4053909600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Wellness Enterprises, Llc Po Box 10 Choctaw OK 73020-0010 Ph: (405) 390-9600 | Choctaw Wellness Enterprises, Llc 15803 Ne 23rd St Choctaw OK 73020-8428 Ph: (405) 390-9600 |
| NPI Number | 1346441896 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346441896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18237 (Oklahoma) | Primary |
Cary Carpenter, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
Revitalize Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16339 Silver Spring Dr, Choctaw, OK 73020 Phone: 918-633-0622 | |
Ico Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1664 S Choctaw Rd Ste 101, Choctaw, OK 73020 Phone: 405-281-2144 | |
Bruce A. Stafford, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-4280 Fax: 405-390-4282 | |
Gregory P. Kelley D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-769-7201 Fax: 405-769-4034 | |
Ruffin Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1940 Harper St, Choctaw, OK 73020 Phone: 405-281-6065 Fax: 405-281-6068 |