Healthcare Provider Details

I. General information

NPI: 1447189071
Provider Name (Legal Business Name): THE REFINERY WELLNESS & AESTHETICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17800 KNOX FARM RD STE 100
EDMOND OK
73012-4614
US

IV. Provider business mailing address

17800 KNOX FARM RD STE 100
EDMOND OK
73012-4614
US

V. Phone/Fax

Practice location:
  • Phone: 405-938-0048
  • Fax: 405-342-8019
Mailing address:
  • Phone: 405-938-0048
  • Fax: 405-342-8019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DARBI L WILLIAMS
Title or Position: MANAGING MEMBER
Credential: APRN
Phone: 405-938-0048