Provider Demographics
NPI:1235997594
Name:A BETTER YOU HEALTHCARE CLINIC PLLC
Entity Type:Organization
Organization Name:A BETTER YOU HEALTHCARE CLINIC PLLC
Other - Org Name:BROKEN BOW CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOBE
Authorized Official - Middle Name:
Authorized Official - Last Name:THACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-316-3387
Mailing Address - Street 1:1605 S PARK DR
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:OK
Mailing Address - Zip Code:74728-5724
Mailing Address - Country:US
Mailing Address - Phone:580-316-3387
Mailing Address - Fax:
Practice Address - Street 1:1605 S PARK DR
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:OK
Practice Address - Zip Code:74728-5724
Practice Address - Country:US
Practice Address - Phone:580-316-3387
Practice Address - Fax:580-316-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty