MEDICARE: DR. ALEXIS LYNN CRALLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	46277	OK
2	208600000X	Surgery Physician	46277	OK

General Provider Information

NPI Number	:	1295120483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS LYNN CRALLEY MD

Provider Business Mailing Address
First Line	:	2200 SHADOWLAKE DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-7440
Country	:	US
Telephone Number	:	405-554-3344
Fax Number	:	405-694-4547

Provider Business Practice Location Address
First Line	:	2200 SHADOWLAKE DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-7440
Country	:	US
Telephone Number	:	405-554-3344
Fax Number	:	405-694-4547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	01/12/2026

Similar Medicare Providers

1033077078 — DYNAMIC PHYSICIAN GROUP LLC
Practice Location Address:

2200 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-554-3344
Practice Fax: 405-694-4547

1033177514 — GENTLE SHEPHERD HOME HEALTH, INC.
Practice Location Address:

2216 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-691-8600
Practice Fax: 405-691-8601

1780828103 — ADH SERVICES
Practice Location Address:

2220 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-848-0050
Practice Fax: 405-691-6996

1063818961 — JENA D MCNAMAR, MAMFT, LPC, PLLC
Practice Location Address:

2216 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-641-7905
Practice Fax: 405-735-6760

1629457387 — HALSTEAD MONITORING LLC
Practice Location Address:

2226 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-622-3827
Practice Fax:

1598541427 — DYNAMIC WOUND CARE LLC
Practice Location Address:

2222 SHADOWLAKE DR
OKLAHOMA CITY, OK
73159-7440

Practice Phone: 405-315-8440
Practice Fax: 405-653-1444

Directions to “ DR. ALEXIS LYNN CRALLEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.