# GENESIS MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS MEDICAL PLLC
- **Other names:** Southern Oklahoma Pain Management
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407769243
- **Legal business name:** GENESIS MEDICAL PLLC
- **Authorized official:** SHERRY LYNNE CLARK (BILLING/CREDENTIALING)
- **Authorized official phone:** (580) 223-5180

## Contact information

- **Practice address:** 5370 NW CACHE RD STE 1, LAWTON, OK 73505-3371
- **Practice address phone:** (580) 221-2022
- **Mailing address:** 5370 NW CACHE RD STE 1, LAWTON, OK 73505-3371
- **Mailing address phone:** (580) 221-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026