MIRAWORX OF OKC 1 LLC is an addiction medicine family medicine in Oklahoma City, OK. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MIRAWORX OF OKC 1 LLC NPI is 1053641803. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
10400 VINEYARD BLVD APT A
OKLAHOMA CITY, OK
ZIP 73120-830
Phone: (405) 230-1102
The provider's authorized official is Carolyn Cummins Davies .
The authorized official title is Consultant and has the following contact phone number (918) 286-7347.
The enumeration date for this NPI number is 12/29/2009 and was last updated on 12/29/2009.