Healthcare Provider Details

I. General information

NPI: 1396820544
Provider Name (Legal Business Name): ABSOLUTE HEALTH CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 S SANTA FE AVE STE. A
OKLAHOMA CITY OK
73139-8413
US

IV. Provider business mailing address

8901 S SANTA FE AVE STE. A
OKLAHOMA CITY OK
73139-8413
US

V. Phone/Fax

Practice location:
  • Phone: 405-634-0042
  • Fax: 405-632-7976
Mailing address:
  • Phone: 405-634-0042
  • Fax: 405-632-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number3682
License Number StateOK

VIII. Authorized Official

Name: DR. RAUL OMAR FONT
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 405-634-0042