Provider Demographics
NPI:1649687823
Name:OKWEB LLC
Entity type:Organization
Organization Name:OKWEB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:COX
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:405-550-4974
Mailing Address - Street 1:3324 CARRIAGE POINT DR
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-2286
Mailing Address - Country:US
Mailing Address - Phone:405-550-4974
Mailing Address - Fax:
Practice Address - Street 1:3324 CARRIAGE POINT DR
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2286
Practice Address - Country:US
Practice Address - Phone:405-550-4974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-19
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies