Organization · Type 2 NPI
Tishomingo Doctor's Medical Clinic, PC
Rural Health Clinic/Center · Tishomingo, OK
NPI number
1508096447
Active
Practice location
508 E 24th St
Tishomingo, OK 73460-3214
Fax (580) 371-3170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1508096447
Tishomingo Doctor's Medical Clinic, PC's National Provider Identifier is 1508096447, issued on Jul 24, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tishomingo, OK. The record was last updated on Nov 20, 2009.