# TSQ INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093829269
- **Authorized official:** TIMOTHY HERBERT SANFORD D.O. (PRESIDENT/D.O.)
- **Authorized official phone:** (918) 759-2200

## Contact information

- **Practice address:** 1151 SOUTH BELMONT, SUITE 101, OKMULGEE, OK 74447
- **Practice address phone:** (918) 759-2200
- **Mailing address:** 1151 SOUTH BELMONT, SUITE 101, OKMULGEE, OK 74447
- **Mailing address phone:** (918) 759-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3695 | OK | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020