Healthcare Provider Details

I. General information

NPI: 1033039045
Provider Name (Legal Business Name): POLARIS MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 RENAISSANCE BLVD
EDMOND OK
73013-3023
US

IV. Provider business mailing address

15713 LANGLEY WAY
EDMOND OK
73013-0021
US

V. Phone/Fax

Practice location:
  • Phone: 405-359-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAVIS HUNTER VERNIER
Title or Position: OWNER
Credential: MD
Phone: 405-795-9368