Organization · Type 2 NPI

Magnolia Med Spa and IV Therapy Inc.

Medical Specialty Clinic/Center · Durant, OK

NPI number 1699513598 Active

Practice location

3008 W University Blvd Ste 130
Durant, OK 74701-2927

Fax (580) 615-0001

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1699513598

Magnolia Med Spa and IV Therapy Inc.'s National Provider Identifier is 1699513598, issued on Jul 16, 2024. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Durant, OK. The record was last updated on Jul 16, 2024.