OrganizationActive
Advanced Lifestyle Solutions PLLC
NPI 1164026845 · General Practice Physician · Oklahoma City, OK
Provider details
- NPI number
- 1164026845
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rita Pannell, Operations Manager
Practice location
5252 N Meridian Ave
Oklahoma City, OK 73112-2178
Phone: (405) 754-5400
Fax: (405) 754-5404
Mailing address
1162 Honey Crk
New Braunfels, TX 78132-3453
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2022-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.