Healthcare Provider Details

I. General information

NPI: 1518772755
Provider Name (Legal Business Name): METABOLIC CENTERS FOR EXCELLENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8660 S PEORIA AVE
TULSA OK
74132-2827
US

IV. Provider business mailing address

8660 S PEORIA AVE
TULSA OK
74132-2827
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-4782
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BROWN
Title or Position: OWNER
Credential:
Phone: 360-710-4039