Organization
RESTORE FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY JEAN DRAPER APRN-CNP (PRESIDENT)
(580) 982-6044
Entity
Organization
Contact information
Practice address
416020 E 1951 RD, ANTLERS, OK 74523
(580) 982-6044
Mailing address
416020 E 1951 RD, ANTLERS, OK 74523-7445
(580) 982-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
12/12/2025
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