Organization
WEATHERFORD HOSPITAL AUTHORITY
Active
Other names
WRH ENT Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K HOWE (CEO)
(580) 772-5551
Entity
Organization
Contact information
Practice address
3739 LEGACY, WEATHERFORD, OK 73096-9746
(580) 772-2268
(580) 772-2267
Mailing address
3701 E MAIN ST, WEATHERFORD, OK 73096-3309
(580) 772-5551
(580) 774-2314
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23518
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00370092001
BCBS
OK
05
—
10698870E
—
OK
05
—
10699870C
—
OK
Enumeration date
12/23/2014
Last updated
12/23/2014
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