| The Wellness Clinic | |
|
3562 E 51st St Tulsa OK 74135-3518 | |
| (918) 313-7351 | |
| Not Available |
| Full Name | The Wellness Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3562 E 51st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Anna Lilia Pina (NURSE PRACTITIONER) |
| Authorized Official Contact | 9187342362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Clinic 3562 E 51st St Tulsa OK 74135-3518 Ph: (918) 313-7351 | The Wellness Clinic 3562 E 51st St Tulsa OK 74135-3518 Ph: (918) 313-7351 |
| NPI Number | 1144673112 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144673112 | NPI | - | NPPES |
| 1699039883 | Other | INDIVIDUAL NPI | |
| 200455350A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 88067 (Oklahoma) | Primary |
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