Provider Demographics
NPI:1326459918
Name:GET WELL FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:GET WELL FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-622-4214
Mailing Address - Street 1:7300 S WESTERN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-2002
Mailing Address - Country:US
Mailing Address - Phone:405-622-4214
Mailing Address - Fax:405-622-4191
Practice Address - Street 1:7300 S WESTERN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-2002
Practice Address - Country:US
Practice Address - Phone:405-622-4214
Practice Address - Fax:405-622-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty