Roosevelt Premier Therapy
Specialty details in registry · Moore, OK
At a glance
1120 N Eastern Ave Ste 108, Moore, OK 73160-5856
NPPES record updated Jul 15, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1120 N Eastern Ave Ste 108Moore, OK 73160-5856
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Jul 12, 2024
- Record updated
- Jul 15, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
101YM0800X
103K00000X · Primary
133NN1002X
221700000X
222Q00000X
225100000X
225800000X
225A00000X
225X00000X
235Z00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1120 N Eastern Ave Ste 108Moore, OK 73160-5856
- Phone
- (405) 735-7162
Mailing address
PO BOX 325HUTTO, TX 786340325
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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