Organization Name: | HEALTHCARE ONE ASSOCIATES PLLC |
NPI Number: | 1174811368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | C. BRAD REDDEN (OWNER) |
Mailing Address: | 1900 S Country Club Rd El Reno |
State: | OK US |
Postal Code: | 730365427 |
Phone Number: | 4052952900 |
Fax Number: | 4052952905 |
NPI Enumeration Date: | 07/21/2011 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 76189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |