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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRAWORX OF OKC 1 LLC

Active Organization

MIRAWORX OF OKC 1 LLC is a Addiction Medicine (Family Practice) organization located in OKLAHOMA CITY, Oklahoma. NPI 1053641803 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · OKLAHOMA CITY, OK

Registration Details

NPI Number
1053641803
Provider Type
Organization
NPI Issued
Dec 29, 2009 (16.659164674619 yrs)
Last Updated
Dec 29, 2009

Practice Information

Address
10400 VINEYARD BLVD APT A
OKLAHOMA CITY, OK, 731203830
Browse OK providers · Browse ZIP 73120
Phone
4052301102
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X

Other Addiction Medicine (Family Practice) Organizations in OKLAHOMA CITY, OK

Name NPI
INGRAM CO 1972851467
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.