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General NPI Number Information
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NPI Number | 1750167383
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Entity Type | Organization
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Legal Business Name | ALLIED WOUNDCARE CENTER LLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 8324 S WALKER AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9450
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Country | US
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Telephone | 405-768-5749
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Fax |
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Provider Business Mailing Address
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Address Line | 8324 S WALKER AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9450
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Country | US
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Telephone | 405-930-5773
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Fax | 405-832-1138
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Authorized Official
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Title or Position | COO
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Name | MICHELLE CLARK
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Credential |
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Telephone | 405-768-5749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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