Tishomingo Doctor'S Medical Clinic, PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC

Practice address

508 E 24TH St
Tishomingo, OK 73460-3214

Phone

(580) 371-9117

Fax

(580) 371-3170

NPI assigned

Jul 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Virginia Ragan

Title

Director of Operations

Phone

(580) 371-9117

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1508096447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-9117",
            "fax_number": "580-371-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-9117",
            "fax_number": "580-371-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "580-371-9117"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texoma Physical Therapy & Rehabilitation Clinic, LLC
• Texoma Rural Health Center
• Mathew Thomas
• Mauri Millard Thomas, DDS
• Brianna Megan Thompson, MA, LPC, NCC
• Tishomingo Public Schools
• Tishomingo Public Schools
• Katrisha Nicole Toney, APRN-CNP
• Angela M. Torres, M.D.
• Harry D. Trosin

• Rural Health Clinic/Center in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.