Weatherford Family Practice Medical Center Pllc

NPI 1528204567 - Family Medicine - 207Q00000X

NPI Details
NPI 1528204567
Enumeration Date 12/22/2008
Last Updated 01/24/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TAMALA ROCHELLE TAMALA
Position OWNER/MEDICAL DOCTOR
Phone (580) 772-2400
Fax (580) 772-2408
Practice Location
3739 LEGACY
WEATHERFORD OK, 73096-9746, US
Phone (580) 772-2400
Fax (580) 772-2408
Business Location
3739 LEGACY
WEATHERFORD OK, 73096-9746, US
Phone (580) 772-2400
Fax (580) 772-2408
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 26755
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According to our database, Weatherford Family Practice Medical Center Pllc NPI is 1528204567, taxonomy code is 207Q00000X and license number is 26755, license state is located at Oklahoma. Weatherford Family Practice Medical Center Pllc physically located at 3739 Legacy, Weatherford OK, 73096-9746. NPI Number 1033115704 has the healthcare provider type.

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1528204567 NPI number is provided on an as is basis without warranty of any kind. 1528204567 is maintained by the National Plan & Provider Enumeration System. The contents of Weatherford Family Practice Medical Center Pllc are for informational purposes only.