OrganizationActive
Magnolia Med Spa and IV Therapy Inc.
NPI 1699513598 · Medical Specialty Clinic/Center · Durant, OK
Provider details
- NPI number
- 1699513598
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brittany Ballard, Owner(580) 615-0000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3008 W University Blvd Ste 130
Durant, OK 74701-2927
Phone: (580) 615-0000
Fax: (580) 615-0001
Approximate (ZIP-level) locationGet directions
Mailing address
3008 W University Blvd Ste 130
Durant, OK 74701-2927
Other names (DBA / former)
- Doing business as
- Magnolia Med Spa and IV Therapy
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.