Organization · Type 2 NPI

Triad Complete Healthcare A12 LLC

Family Medicine Physician · Ardmore, OK

NPI number 1891506960 Active

Practice location

908 N Rockford Rd Ste A
Ardmore, OK 73401-2541

Call (580) 251-7104 Map

Mailing address

2703 N 14th St
Ponca City, OK 74601-1738

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

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.

5 other providers at this address

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About NPI 1891506960

Triad Complete Healthcare A12 LLC's National Provider Identifier is 1891506960, issued on Jan 16, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ardmore, OK. The record was last updated on Jul 8, 2026.