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: PMO MEDICAL PLLC

MEDICARE: PMO MEDICAL 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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649771874
Entity Type Code : Organization
Provider Name (Legal Business Name) : PMO MEDICAL PLLC
Provider Business Mailing Address
First Line : 701 W QUEENS ST STE 100
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-1785
Country : US
Telephone Number : 918-794-6008
Fax Number : 918-516-3447
Provider Business Practice Location Address
First Line : 401 E BROADWAY CT STE A
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-7931
Country : US
Telephone Number : 918-246-3456
Fax Number : 918-516-3447
Authorized Official
Title or Position : OWNER / PHYSICIAN
Name : DR. JEFFREY HALFORD
Credential : DO
Telephone Number : 918-794-6008
Provider Enumeration Date : 02/22/2018
Last Update Date : 02/22/2018

Similar Medicare Providers

1487717781 — COUNSELING & RECOVERY SERVICES OF OKLAHOMA, INC.
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-245-5565
Practice Fax:
1821332164 — MS. DEBBIE LYNN CAVIN
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-392-5828
Practice Fax: 918-245-5564
1952701542 — DANETTA WATKINS
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-245-5565
Practice Fax: 918-245-5564
1831625425 — KENNA HERMS
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-245-5565
Practice Fax:
1336668805 — DESHA RENEE JOHNSON PRSS
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-245-5565
Practice Fax:
1366922833 — JESSICA ANN RAUSER
Practice Location Address:
401 E BROADWAY CT STE E
SAND SPRINGS, OK
74063-7931
Practice Phone: 918-245-5565
Practice Fax: 918-245-5564

Directions to “PMO MEDICAL PLLC ” 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 © 2007-2026 (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.