# RED RIVER MEDICAL SERVICES 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:** 1558981472
- **Authorized official:** RONDA F NORRELL (CREDENTIALING)
- **Authorized official phone:** (580) 695-0101

## Contact information

- **Practice address:** 4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
- **Practice address phone:** (580) 730-0510
- **Practice address fax:** (580) 357-8787
- **Mailing address:** 4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
- **Mailing address phone:** (580) 730-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 04/21/2020