# RHEA BUYCKS PA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockford Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619421377
- **Authorized official:** RHEA BUYCKS PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (580) 229-3695

## Contact information

- **Practice address:** 317 N ROCKFORD RD, ARDMORE, OK 73401-2552
- **Practice address phone:** (580) 229-3695
- **Mailing address:** 317 N ROCKFORD RD, ARDMORE, OK 73401-2552
- **Mailing address phone:** (580) 229-3695

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 01/13/2020