institution
Thackerville Medical Clinic
Family Nurse Practitioner in Thackerville, Oklahoma
NPI 1518282185

Thackerville Medical Clinic is a Family Nurse Practitioner based in Thackerville, OK and is specialized in Family. Thackerville Medical Clinic practices in Thackerville, OK. The NPI Number for Thackerville Medical Clinic is 1518282185 and holds a License No. R0096598 (Oklahoma).

The current practice location address for Thackerville Medical Clinic is 11530 Ridge Rd Ste 1, Thackerville, OK and can be reached out via phone at 580-276-9066 and via fax at 580-276-9063.

Location: 11530 Ridge Rd Ste 1, Thackerville, OK, 73459-9771
institution
Provider Profile Details
NPI Number
1518282185
Provider Name
Thackerville Medical Clinic
Credential
Provider Entity Type
Organization
Address
11530 Ridge Rd Ste 1, Thackerville, OK, 73459-9771
Phone Number
580-276-9066
Fax Number
580-276-9063
Provider Enumeration Date
04/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11530 Ridge Rd Ste 1
City
State
Zip
73459-9771
Phone Number
580-276-9066
Fax Number
580-276-9063
person
Provider Business Mailing Address Details
Address
11530 Ridge Rd Ste 1
City
State
Zip
73459-9771
Phone Number
580-276-9066
Fax Number
580-276-9063
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R0096598 (Oklahoma)
Definition
Definition to come...
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