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NPI Code Detail

MEDICARE: MYERS MED HOLDINGS, LLC

MEDICARE: MYERS MED HOLDINGS, 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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1467338038
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYERS MED HOLDINGS, LLC
Provider Business Mailing Address
First Line : 730 E TAFT AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-5766
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 E TAFT AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-5766
Country : US
Telephone Number : 918-224-7305
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : BRETT MYERS
Credential :
Telephone Number : 918-527-7065
Provider Enumeration Date : 08/11/2025
Last Update Date : 01/06/2026

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