| Organization Name: | ANGESL HEALTH CARE CLINIC |
| NPI Number: | 1629254651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA A FLOWERETTE (DIRECTOR) |
| Mailing Address: | 230 E 5th St Pawhuska |
| State: | OK US |
| Postal Code: | 740565204 |
| Phone Number: | 9182872100 |
| Fax Number: | 9182872113 |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 04/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |