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

Willow Medical LLC

Organization Family Medicine Physician · NPI 1417640582

Willow Medical LLC is a Family Medicine Physician in Owasso, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12806 E 86th Pl N Ste A
Owasso, OK 74055-2688
Phone: (539) 208-5069
Fax: (539) 208-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417640582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Moorman — Aprn, Fnp-C · (539) 208-5069
NPI enumeratedJune 2, 2023
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address12806 E 86th Pl N Ste A, Owasso, OK 74055-2688

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