| Premise Health Of Oklahoma Medical, P.c | |
|
1105 Michelin Rd Ardmore OK 73401-1085 | |
| (580) 224-8750 | |
| (580) 224-8751 |
| Full Name | Premise Health Of Oklahoma Medical, P.c |
|---|---|
| Speciality | Clinic/center |
| Location | 1105 Michelin Rd, Ardmore, Oklahoma |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Oklahoma Medical, P.c 5500 Maryland Way Brentwood TN 37027-4948 Ph: (580) 224-8750 | Premise Health Of Oklahoma Medical, P.c 1105 Michelin Rd Ardmore OK 73401-1085 Ph: (580) 224-8750 |
| NPI Number | 1740540327 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740540327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Connie M Wilson Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1010 Fax: 580-226-1011 | |
Alexander P Gurrola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
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Schafer Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Isabel St, Ardmore, OK 73401 Phone: 580-223-5432 Fax: 580-223-6076 | |
Premise Health Of Oklahoma Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Commerce St, Ardmore, OK 73401 Phone: 580-490-9414 Fax: 580-490-9067 | |
Dr R G Patzkowsky Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Isabel, Ardmore, OK 73401 Phone: 580-223-5432 |