# PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC
- **Other names:** Pro-Care Specialty Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952231789
- **Legal business name:** PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC
- **Authorized official:** EVELYN MARIE TUSTIN (MANAGER)
- **Authorized official phone:** (918) 649-3777

## Contact information

- **Practice address:** 1013 DEWEY AVE, POTEAU, OK 74953-4409
- **Practice address phone:** (918) 721-0140
- **Practice address fax:** (918) 647-0460
- **Mailing address:** PO BOX 1278, POTEAU, OK 74953-1278
- **Mailing address phone:** (918) 649-3777
- **Mailing address fax:** (918) 647-0460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2026
- **Last updated:** 06/10/2026