# IRVIN MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1649453689
- **Authorized official:** MR. MICHAEL J IRVIN D.O. (OWNER)
- **Authorized official phone:** (580) 317-9000

## Contact information

- **Practice address:** 1001 E JACKSON ST, HUGO, OK 74743-4225
- **Practice address phone:** (580) 317-9000
- **Practice address fax:** (580) 317-9024
- **Mailing address:** 1001 E JACKSON ST, HUGO, OK 74743-4225
- **Mailing address phone:** (580) 317-9000
- **Mailing address fax:** (580) 317-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3636 | OK | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 04/28/2026