| Premise Health Of Oklahoma Medical, P.c | |
|
915 E Owen K Garriott Rd Ste 202 Enid OK 73701-6156 | |
| (580) 701-2582 | |
| (580) 701-2585 |
| Full Name | Premise Health Of Oklahoma Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 915 E Owen K Garriott Rd Ste 202, Enid, 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 Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Oklahoma Medical, P.c 915 E Owen K Garriott Rd Ste 202 Enid OK 73701-6156 Ph: (580) 701-2582 |
| NPI Number | 1568021459 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568021459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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