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NPI Code Detail

MEDICARE: FOCUSED ADULT LLC

MEDICARE: FOCUSED ADULT LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1144882325
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOCUSED ADULT LLC
Provider Business Mailing Address
First Line : 5900 MOSTELLER DR UNIT 3
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4640
Country : US
Telephone Number : 405-608-8808
Fax Number : 405-832-1089
Provider Business Practice Location Address
First Line : 5900 MOSTELLER DR UNIT 3
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4640
Country : US
Telephone Number : 405-608-8808
Fax Number : 405-832-1089
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : JAY GREGSTON
Credential : MD
Telephone Number : 405-608-8808
Provider Enumeration Date : 07/08/2019
Last Update Date : 08/21/2025

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Directions to “FOCUSED ADULT LLC ” Practice Location

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