Provider Demographics
NPI:1679153548
Name:COMPLETE FAMILY WELLNESS AND URGENT CARE
Entity type:Organization
Organization Name:COMPLETE FAMILY WELLNESS AND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:405-534-4500
Mailing Address - Street 1:301 E CHEROKEE ST STE F
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:OK
Mailing Address - Zip Code:73052-4414
Mailing Address - Country:US
Mailing Address - Phone:405-534-4500
Mailing Address - Fax:800-396-6706
Practice Address - Street 1:301 E CHEROKEE ST STE F
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:OK
Practice Address - Zip Code:73052-4414
Practice Address - Country:US
Practice Address - Phone:405-534-4500
Practice Address - Fax:800-396-6706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care