| Team Clinics Ah, LLC | |
|
2406 13th St Woodward OK 73801-1305 | |
| (405) 546-4130 | |
| Not Available |
| Full Name | Team Clinics Ah, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2406 13th St, Woodward, Oklahoma |
| Authorized Official Name and Position | Trevor Nutt (CEO) |
| Authorized Official Contact | 4055464130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Clinics Ah, LLC 3112 Cooke Way Oklahoma City OK 73179-2401 | Team Clinics Ah, LLC 2406 13th St Woodward OK 73801-1305 Ph: (405) 546-4130 |
| NPI Number | 1104546001 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104546001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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