# UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR SOUTHWEST OK FAMILY PRACTICE

> 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
- **Other names:** Southwest Oklahoma Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790893097
- **Authorized official:** MR. BRIAN MADDY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (405) 271-3932

## Contact information

- **Practice address:** 1202 NW ARLINGTON AVE, LAWTON, OK 73507-6537
- **Practice address phone:** (580) 248-2288
- **Practice address fax:** (580) 248-5757
- **Mailing address:** 1202 NW ARLINGTON AVE, LAWTON, OK 73507-6537
- **Mailing address phone:** (580) 248-2288
- **Mailing address fax:** (580) 248-5757

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 05/02/2017