# SKINNER FAMILY PRACTICE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265924872
- **Authorized official:** TENIA LADONNA SKINNER DO (PHYSICIAN)
- **Authorized official phone:** (405) 641-6628

## Contact information

- **Practice address:** 129 N 3RD AVE STE C, PURCELL, OK 73080
- **Practice address phone:** (405) 641-6628
- **Practice address fax:** (405) 527-8669
- **Mailing address:** 129 N 3RD AVE STE C, PURCELL, OK 73080-4246
- **Mailing address phone:** (405) 641-6628
- **Mailing address fax:** (405) 527-6569

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 09/05/2018