NPI 1164026845

Advanced Lifestyle Solutions PLLC

Organisation General Practice Physician Oklahoma City, OK

Practice location

Address: 5252 N Meridian Ave, Oklahoma City, OK 73112-2178
Phone: (405) 754-5400
Fax: (405) 754-5404
Mailing address: 1162 Honey Crk, New Braunfels, TX 78132-3453

Authorised official

Name: Rita Pannell
Title: Operations Manager
Phone: (214) 310-6763

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oklahoma →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Oklahoma →

Registry record

NPI: 1164026845
Entity type: Organization
NPI issued: 24 Nov 2020
Record last updated: 10 Jan 2022

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.