Healthcare Provider Details

I. General information

NPI: 1225813249
Provider Name (Legal Business Name): YOUR BEST HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102780 US HIGHWAY 59
SALLISAW OK
74955-4033
US

IV. Provider business mailing address

102780 US HIGHWAY 59
SALLISAW OK
74955-4033
US

V. Phone/Fax

Practice location:
  • Phone: 660-281-0018
  • Fax:
Mailing address:
  • Phone: 660-281-0018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AGEENA HASS
Title or Position: MEMBER/OWNER
Credential: DO
Phone: 660-281-0018