Organization
NEWKIRK RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY K HICKS D.O. (OWNER/MANAGING EMPLOYEE)
(580) 362-2555
Entity
Organization
Contact information
Practice address
601A W SOUTH ST, NEWKIRK, OK 74647-5525
(580) 362-2555
(580) 362-2091
Mailing address
601A W SOUTH ST, NEWKIRK, OK 74647-5525
(580) 362-2555
(580) 362-2091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3915
OK
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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