NPI 1063532760

Restored Health & Wellness Center

Organisation Exclusive Provider Organization Tulsa, OK

Practice location

Address: 4329 S Peoria Ave Suite 350, Tulsa, OK 74105-3935
Phone: (918) 712-8616
Fax: (918) 712-8612

Authorised official

Name: Chrystal P Lewis
Title: Owner
Phone: (918) 712-8616

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3690 (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1063532760
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 12 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.