Organization · Type 2 NPI

Ebenezertelehealth LLC

General Practice Physician · Bethany, OK

NPI number 1427994334 Active

Practice location

7415 NW 23rd St
Bethany, OK 73008-5135

Fax (718) 640-2713

Mailing address

5625 NW 130th St
Oklahoma City, OK 73142-6085

Other practice locations

  • 5625 NW 130th St, Oklahoma City, OK 73142-6085 · (405) 349-8188

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

About NPI 1427994334

Ebenezertelehealth LLC's National Provider Identifier is 1427994334, issued on Apr 24, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bethany, OK. The record was last updated on Oct 15, 2026.