SearchOklahoma171M00000X

Ngwese Edie

NPI 1841676954 · on the registry since 2015 · sole proprietor

Practice

Address
9210 S Western Ave
Suite A-21
Oklahoma City, OK 73139
Phone
(405) 703-8755
Fax
(405) 895-7544
Organisation at this address
Genesi Llc
Gold Team Llc
Tasel Health Llc
Dungarvin Oklahoma Llc
Dungarvin Oklahoma Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-26

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