MEDICARE: AGAPE FAMILY CLINIC LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1316741101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE FAMILY CLINIC LLC

Provider Business Mailing Address
First Line	:	12028 S NORWOOD AVE STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12028 S NORWOOD AVE STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5545
Country	:	US
Telephone Number	:	918-819-8164
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PROVIDER
Name	:	PHENG CING
Credential	:	APRN-CNP
Telephone Number	:	918-819-8164

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	09/18/2025

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Directions to “AGAPE FAMILY CLINIC LLC ” Practice Location

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