Search › Oklahoma › 171M00000X
Jorge Avitia-Moreno
NPI 1528865672 · on the registry since 2025 · sole proprietor
Practice
- Address
- 11601 W Stanley Draper Dr
Oklahoma City, OK 73165 - Phone
- (405) 799-7540
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 175T00000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma