Axiom Medical Solutions, LLC
Nurse Practitioner, Family in Oklahoma City, OK. Organization (NPI-2).
NPI number1164039632
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1164039632
- Entity type
- Organization (NPI-2)
- Legal business name
- Axiom Medical Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Ams (Doing Business As)
Practice location
14132 Se 134th StOklahoma City, OK 73165-7669
Phone 405-615-3245
Mailing address
14132 Se 134th StOklahoma City, OK 73165-7669
Phone 405-615-3245
Authorized official
Steven Troy Braudway
Owner
4056153245
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