Provider Demographics
NPI:1225813249
Name:YOUR BEST HEALTH LLC
Entity Type:Organization
Organization Name:YOUR BEST HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AGEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:660-281-0018
Mailing Address - Street 1:102780 US HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-4033
Mailing Address - Country:US
Mailing Address - Phone:660-281-0018
Mailing Address - Fax:
Practice Address - Street 1:102780 US HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-4033
Practice Address - Country:US
Practice Address - Phone:660-281-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty