Organization · Type 2 NPI
Premise Health of Oklahoma Medical PC
Primary Care Clinic/Center · Ardmore, OK
NPI number
1093379331
Active
Practice location
404 S Commerce St
Ardmore, OK 73401-5010
Fax (580) 490-9067
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1093379331
Premise Health of Oklahoma Medical PC's National Provider Identifier is 1093379331, issued on Apr 23, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ardmore, OK. The record was last updated on Feb 2, 2026.