DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AXG SERVICES INCORPORATED

MEDICARE: AXG SERVICES INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency#334OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598848202OTHEROKNPI NUMBER

General Provider Information

NPI Number : 1073066338
Entity Type Code : Organization
Provider Name (Legal Business Name) : AXG SERVICES INCORPORATED
Provider Business Mailing Address
First Line : 3321 S WESTERN AVE
Second Line : SUITE 2
City : OKLAHOMA CITY
State : OK
Zip : 73109-2408
Country : US
Telephone Number : 405-476-7561
Fax Number :
Provider Business Practice Location Address
First Line : 305 NW 5TH ST
Second Line : #1541
City : OKLAHOMA CITY
State : OK
Zip : 73102-3016
Country : US
Telephone Number : 405-476-7561
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ANDREA X GOMEZ
Credential : LADC-MH
Telephone Number : 405-476-7561
Provider Enumeration Date : 08/03/2016
Last Update Date : 08/03/2016

Similar Medicare Providers

1235300013 — VERLA-MARIE OPAL HULL B.A.
Practice Location Address:
2512 N HARVEY AVE
OKLAHOMA CITY, OK
73103-3016
Practice Phone: 405-810-9578
Practice Fax:
1184917973 — LESLIE JENNY WHISENHUNT
Practice Location Address:
10400 S WESTERN AVE , SUITE 7
OKLAHOMA CITY, OK
73139-3016
Practice Phone: 405-378-2222
Practice Fax: 405-378-2240
1114366341 — NEXT GENERATION PEDIATRICS, LLC
Practice Location Address:
10400 S WESTERN AVE , SUITE 7
OKLAHOMA CITY, OK
73139-3016
Practice Phone: 405-378-2222
Practice Fax: 405-378-2240
1720494354 — MS. ELIZABETH ANN CARLTON APRN
Practice Location Address:
10400 S WESTERN AVE , SUITE 7
OKLAHOMA CITY, OK
73139-3016
Practice Phone: 405-378-2222
Practice Fax: 405-378-2240
1023460524 — MICHELLE FRAZIER
Practice Location Address:
2716 PLYMOUTH LN
OKLAHOMA CITY, OK
73120-3016
Practice Phone: 281-507-7249
Practice Fax:
1114415718 — DIANE JANEAN LUCAS
Practice Location Address:
3016 NW 41ST ST APT 27
OKLAHOMA CITY, OK
73112-6291
Practice Phone: 405-968-5074
Practice Fax:

Directions to “AXG SERVICES INCORPORATED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.