Healthcare Provider Details

I. General information

NPI: 1174811368
Provider Name (Legal Business Name): HEALTHCARE ONE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S COUNTRY CLUB RD
EL RENO OK
73036-5427
US

IV. Provider business mailing address

1900 S COUNTRY CLUB RD
EL RENO OK
73036-5427
US

V. Phone/Fax

Practice location:
  • Phone: 405-295-2900
  • Fax: 405-295-2905
Mailing address:
  • Phone: 405-295-2900
  • Fax: 405-295-2905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number76189
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. C. BRAD REDDEN
Title or Position: OWNER
Credential: APRN, CNP
Phone: 405-295-2900