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MIRAWORX OF OKC 1 LLC
NPI 1053641803
Family Medicine - Addiction Medicine in Oklahoma City, OK

Active since December 29, 2009
10400 VINEYARD BLVD APT A, OKLAHOMA CITY, OK 73120(405) 230-1102 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miraworx Of Okc 1 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRAWORX OF OKC 1 LLC (NPI 1053641803) is a healthcare organization registered as an addiction medicine in Oklahoma City, Oklahoma and active in the NPI registry since December 2009. The organization lists Carolyn Cummins Davies, Consultant, as its authorized official.

NPPES Registry Identity

NPI1053641803
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameMIRAWORX OF OKC 1 LLC
Location Address10400 VINEYARD BLVD APT AOklahoma City, OK 73120-3830
Mailing Address10400 Vineyard Blvd Apt AOklahoma City, OK 73120-3830 · (405) 230-1102
Phone(405) 230-1102
Organization SubpartNo
Authorized OfficialCarolyn Cummins DaviesConsultant · (918) 286-7347
Enumeration DateDecember 29, 2009
✔ NPI 1053641803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
10400 VINEYARD BLVD APT A, Oklahoma City, OK 73120
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miraworx Of Okc 1 LLC's NPI number?

The NPI number for Miraworx Of Okc 1 LLC is 1053641803. It was assigned to this organization in the NPPES registry on December 29, 2009.

Where is Miraworx Of Okc 1 LLC located?

Miraworx Of Okc 1 LLC is located at 10400 Vineyard Blvd Apt A, Oklahoma City, OK 73120. The listed phone number is (405) 230-1102.

What is Miraworx Of Okc 1 LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Miraworx Of Okc 1 LLC was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.