# WEATHERFORD HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEATHERFORD HOSPITAL AUTHORITY
- **Other names:** WRH-Hydro Family Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609666593
- **Legal business name:** WEATHERFORD HOSPITAL AUTHORITY
- **Authorized official:** GEORGANNA LEA BUSS (CFO)
- **Authorized official phone:** (580) 774-4762

## Contact information

- **Practice address:** 579 N BROADWAY AVE, HYDRO, OK 73048
- **Practice address phone:** (580) 772-5551
- **Mailing address:** 3701 E MAIN ST, WEATHERFORD, OK 73096-3309
- **Mailing address phone:** (580) 774-4778
- **Mailing address fax:** (580) 774-2314

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2025
- **Last updated:** 05/12/2025
