Organization
TSG PHYSICIANS GROUP
Active
Parent organization
SOUTHERN PLAINS MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN PLAINS MEDICAL GROUP
Authorized official
MR. THOMAS RICE (CEO)
(405) 917-0300
Entity
Organization
Contact information
Practice address
2308B W HIGHWAY 66, STROUD, OK 74079-6729
(918) 968-4469
Mailing address
PO BOX 12277, OKLAHOMA CITY, OK 73157-2277
(405) 917-0300
(405) 917-0419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061890A
—
OK
05
—
200061890B
—
OK
Enumeration date
05/04/2006
Last updated
11/17/2009
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