Organization
UROLOGY CENTER OF SOUTHERN OKLAHOMA,PC
Active
Other names
UCSO
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE HOLINSWORTH (PRACTICE MANAGER)
(580) 226-8311
Entity
Organization
Contact information
Practice address
1119 WALNUT DR STE 2, ARDMORE, OK 73401-2360
(580) 226-8310
(580) 223-3911
Mailing address
PO BOX 1429, ARDMORE, OK 73402-1429
(580) 226-8310
(580) 223-3911
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000755650A
—
OK
Enumeration date
07/30/2006
Last updated
02/19/2026
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