# FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134314388
- **Authorized official:** TIMOTHY D. ROBISON M.D. (OWNER)
- **Authorized official phone:** (918) 683-8100

## Contact information

- **Practice address:** 3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
- **Practice address phone:** (918) 681-3333
- **Practice address fax:** (918) 681-3336
- **Mailing address:** 3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
- **Mailing address phone:** (918) 681-3333
- **Mailing address fax:** (918) 681-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 10/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 446187037001 | BCBS OF OKLAHOMA | — |
| 01 | — | P00011976 | RAILROAD MEDICARE | — |