Organization · Type 2 NPI

Southern Plains Medical Center of Garvin County LLC

Multi-Specialty Clinic/Center · Edmond, OK

NPI number 1235867938 Active

Practice location

1218 E 9th St Ste 1
Edmond, OK 73034-5796

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician	207N00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

5 other providers at this address

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NPI record

NPI: 1235867938
Entity type: Organization (Type 2)
Issued: Aug 10, 2022
Last updated: Oct 18, 2022
Status: Active
Subpart: Yes of Southern Plains Medical Center of Garvin County LLC

Other names

<unavail>
Valley Community Clinic - Dermatology · other name
Valley Community Clinic - Dermatology · other name

Authorized official

Mr. Madhukar Sharma
Owner
(979) 399-4966

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235867938

Southern Plains Medical Center of Garvin County LLC's National Provider Identifier is 1235867938, issued on Aug 10, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Edmond, OK. The record was last updated on Oct 18, 2022.