| Revitalize Health And Wellness Llc | |
|
16339 Silver Spring Dr Choctaw OK 73020-5807 | |
| (918) 633-0622 | |
| Not Available |
| Full Name | Revitalize Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16339 Silver Spring Dr, Choctaw, Oklahoma |
| Authorized Official Name and Position | Bethany Bia (PART OWNER) |
| Authorized Official Contact | 9186330622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize Health And Wellness Llc 16339 Silver Spring Dr Choctaw OK 73020-5807 Ph: () - | Revitalize Health And Wellness Llc 16339 Silver Spring Dr Choctaw OK 73020-5807 Ph: (918) 633-0622 |
| NPI Number | 1255125019 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255125019 | NPI | - | NPPES |
| 1629739891 | Medicaid | OK | |
| 17770075764 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | 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 | |
Choctaw Wellness Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15803 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
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 |