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institution
Genesis Renewal, Inc.
Clinic/Center in Bixby, Oklahoma
NPI 1215567185

Genesis Renewal, Inc. is a Clinic/Center based in Bixby, OK. Genesis Renewal, Inc. practices in Bixby, OK. The NPI Number for Genesis Renewal, Inc. is 1215567185 and holds a License No. (Oklahoma).

The current practice location address for Genesis Renewal, Inc. is 12810 S Memorial Dr Unit 307, Bixby, OK and can be reached out via phone at 918-685-2896.

Location: 12810 S Memorial Dr Unit 307, Bixby, OK, 74008-5506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215567185
Provider Name
Genesis Renewal, Inc.
Credential
Provider Entity Type
Organization
Address
12810 S Memorial Dr Unit 307, Bixby, OK, 74008-5506
Phone Number
918-685-2896
Fax Number
Provider Enumeration Date
01/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12810 S Memorial Dr Unit 307
City
Bixby
State
Oklahoma
Zip
74008-5506
Phone Number
918-685-2896
Fax Number
person
Provider Business Mailing Address Details
Address
12810 S Memorial Dr Unit 307
City
Bixby
State
Oklahoma
Zip
74008-5506
Phone Number
918-685-2896
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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