Organization
EXCEPTIONAL PHYSICIANS GROUP ARDMORE HOSPITAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON COLLINS (FINANCIAL SYSTEMS ADVISOR)
(972) 740-9335
Entity
Organization
Contact information
Practice address
1641 WOERZ WAY, ARDMORE, OK 73401
(469) 341-7800
(469) 807-1208
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
(469) 807-1208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Enumeration date
02/02/2024
Last updated
10/08/2024
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