Healthcare Provider Details

I. General information

NPI: 1528981966
Provider Name (Legal Business Name): WESLEY BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S F ST
HUGO OK
74743-6026
US

IV. Provider business mailing address

410 S F ST
HUGO OK
74743-6026
US

V. Phone/Fax

Practice location:
  • Phone: 580-743-7642
  • Fax:
Mailing address:
  • Phone: 580-743-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: