Organization
PREFERRED HOSPITAL LEASING SHAMROCK, INC.
Active
Other names
Shamrock Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD A FREEMAN (OWNER/PRESIDENT)
(405) 878-0202
Entity
Organization
Contact information
Practice address
1010 S MAIN ST, SHAMROCK, TX 79079-2820
(806) 256-5148
Mailing address
120 W MACARTHUR ST STE 121, SHAWNEE, OK 74804-2005
(405) 878-0202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
07/12/2022
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