Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paradigm Hormones -Edmond

Organization Clinic/Center · NPI 1639604101

Paradigm Hormones -Edmond is a Clinic/Center in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

1301 S I 35 Service Rd Ste 106
Moore, OK 73160-3182
Phone: (405) 703-3614
Fax: (405) 703-7021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (OK)

Record details

NPI number1639604101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikki Busellato — Ins.Credentialing · (405) 703-3614
NPI enumeratedApril 21, 2017
Last updated in NPPESApril 21, 2017
Mailing address13100 N Western Ave, Oklahoma City, OK 73114-1430

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