| Okwu Sports Medicine | |
|
2201 Silver Lake Rd Bartlesville OK 74006-6233 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Okwu Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2201 Silver Lake Rd, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Okwu Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Okwu Sports Medicine 2201 Silver Lake Rd Bartlesville OK 74006-6233 Ph: (972) 367-4845 |
| NPI Number | 1427577923 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427577923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3219 (Oklahoma) | Primary |
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