Organization · Type 2 NPI

Premise Health of Oklahoma Medical PC

Clinic/Center · Ardmore, OK

NPI number 1740540327 Active

Practice location

1105 Michelin Rd
Ardmore, OK 73401-1085

Fax (580) 224-8751

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8 other providers at this address

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About NPI 1740540327

Premise Health of Oklahoma Medical PC's National Provider Identifier is 1740540327, issued on May 17, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ardmore, OK. The record was last updated on Mar 9, 2026.