Organization
TEXOMA RURAL HEALTH CENTER
Active
Parent organization
SOUTHEASTERN OKLAHOMA FAMILY SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN OKLAHOMA FAMILY SERVICES INC
Authorized official
VIRGINIA MARIE RAGAN (CEO)
(580) 745-9535
Entity
Organization
Contact information
Practice address
508 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9117
Mailing address
127 N 3RD AVE, DURANT, OK 74701-4700
(580) 745-9535
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21084
OK
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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