MEDICARE: ALLIED WOUND CARE SPECIALIST PLLC

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1497361273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED WOUND CARE SPECIALIST PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1065
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73070-1065
Country	:	US
Telephone Number	:	405-900-4995
Fax Number	:	405-437-4229

Provider Business Practice Location Address
First Line	:	4220 N CLASSEN BLVD STE C
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2434
Country	:	US
Telephone Number	:	405-900-4995
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	SAVANAH PATT
Credential	:
Telephone Number	:	405-900-4995

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	02/27/2026

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