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William Thad Renfro

Case Manager/Care Coordinator in Bethany, OK. Individual provider (NPI-1).

NPI number1245069293
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1245069293
Entity type
Individual (NPI-1)
Name
William Thad Renfro
Sex
Male
Sole proprietor
No
Enumeration date
Jul 29, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

6700 Nw 18th Cir
Bethany, OK 73008-6146

Phone 572-572-7624

Mailing address

6700 Nw 18th Cir
Bethany, OK 73008-6146

Phone 572-572-7624

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