Organization
ARDMORE DIALYSIS RANCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL N KHAN MD (OWNER)
(580) 223-8614
Entity
Organization
Contact information
Practice address
2617 CROSSROADS DR, ARDMORE, OK 73401-2574
(580) 490-9844
Mailing address
2617 CROSSROADS DR, ARDMORE, OK 73401-2574
(580) 490-9844
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
OK
Other
Enumeration date
02/05/2010
Last updated
05/09/2011
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