Organization
HOOS PEDIATRIC AND ADOLESCENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY ALAN HOOS II D.O. (OWNER)
(918) 910-7991
Entity
Organization
Contact information
Practice address
904 WEST OKMULOGEE, MUSKOGEE, OK 74401-6841
(918) 910-7991
Mailing address
904 WEST OKMULOGEE, MUSKOGEE, OK 74401-6841
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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