Organization
SOONER INPATIENT SERVICES LLC
Active
Organization
SOONER INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(954) 838-2371
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
08/15/2019
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