MEDITOX WELLNESS OF OWASSO, LLC – NPI #1518651868
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

MEDITOX WELLNESS OF OWASSO, LLC is a provider located in OWASSO, OK. NPPES has assigned the NPI number 1518651868 to MEDITOX WELLNESS OF OWASSO, LLC on June 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDITOX WELLNESS OF OWASSO, LLC below.

NPI Profile for
MEDITOX WELLNESS OF OWASSO, LLC

NPI Number
1518651868
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDITOX WELLNESS OF OWASSO, LLC
Primary location
10314 N 138TH EAST AVE STE 101
OWASSO, OK 74055-4633
Phone: (918) 671-1148 Fax: (918) 376-4981
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY BOSTIC
OWNER / DIRECTOR
Phone: (918) 671-1148
Updated
Certification Date
Jun 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.