# COVENANT WOMEN'S CARE LLC

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

## Provider details

- **NPI number:** 1619424603
- **Authorized official:** VALERIE MARIE MALONE CPC (SOPA OFFICE MANAGER)
- **Authorized official phone:** (580) 226-1010

## Contact information

- **Practice address:** 1505 N COMMERCE ST, SUITE 204, ARDMORE, OK 73401-1863
- **Practice address phone:** (580) 226-3003
- **Practice address fax:** (580) 798-3124
- **Mailing address:** 1505 N COMMERCE ST, SUITE 204, ARDMORE, OK 73401-1863
- **Mailing address phone:** (580) 226-3003
- **Mailing address fax:** (580) 798-3124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | OK | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016