Provider Demographics
NPI:1629724620
Name:TWAF HEALTH LLC
Entity Type:Organization
Organization Name:TWAF HEALTH LLC
Other - Org Name:OKLAHOMA CHIROPRACTIC COLLECTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOMACK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-496-2169
Mailing Address - Street 1:2276 36TH AVE NW STE 110
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3279
Mailing Address - Country:US
Mailing Address - Phone:405-930-4700
Mailing Address - Fax:
Practice Address - Street 1:2276 36TH AVE NW STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3279
Practice Address - Country:US
Practice Address - Phone:405-930-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty