Healthcare Provider Details

I. General information

NPI: 1366347312
Provider Name (Legal Business Name): 323 HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31275 W MUSTANG FUEL RD
KINTA OK
74552-3145
US

IV. Provider business mailing address

31275 W MUSTANG FUEL RD
KINTA OK
74552-3145
US

V. Phone/Fax

Practice location:
  • Phone: 918-500-2318
  • Fax:
Mailing address:
  • Phone: 918-500-2318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHTON CLAYBORN
Title or Position: OWNER
Credential: DO
Phone: 918-500-2318