Organization · Type 2 NPI

Blackhawk Mangum, LLC

Family Medicine Physician · Mangum, OK

NPI number 1093986937 Active

Practice location

One Wickersham Dr
Mangum, OK 73554

Fax (580) 782-2811

Mailing address

PO Box 280
Mangum, OK 73554

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X2208 (OK)
Family Medicine Physician Primary 207Q00000X2208 (OK)
Physician Assistant 363A00000X2208 (OK)
Family Nurse Practitioner 363LF0000X2208 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

About NPI 1093986937

Blackhawk Mangum, LLC's National Provider Identifier is 1093986937, issued on Mar 19, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mangum, OK. The record was last updated on Jul 23, 2008.