Provider Demographics
NPI:1497361273
Name:ALLIED WOUND CARE SPECIALIST PLLC
Entity type:Organization
Organization Name:ALLIED WOUND CARE SPECIALIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-900-4995
Mailing Address - Street 1:PO BOX 1065
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1065
Mailing Address - Country:US
Mailing Address - Phone:405-900-4995
Mailing Address - Fax:405-265-5230
Practice Address - Street 1:4220 N CLASSEN BLVD STE C
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2434
Practice Address - Country:US
Practice Address - Phone:405-900-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty