| Slade Dollarhide, | |
|
101 E Terri Dr, Valliant, OK 74764-6801 | |
| (580) 933-9300 | |
| Not Available |
| Full Name | Slade Dollarhide |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 101 E Terri Dr, Valliant, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114789575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R0131124 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 220185 (Oklahoma) | Primary |
| Entity Name | Mccurtain Memorial Medical Management, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Slade Dollarhide, 8794 Goodwater Rd, Haworth, OK 74740-5396 Ph: () - | Slade Dollarhide, 101 E Terri Dr, Valliant, OK 74764-6801 Ph: (580) 933-9300 |
Rachel Lauren Burgess, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 508 E Wilson St, Valliant, OK 74764 Phone: 580-933-9025 Fax: 833-382-0111 | |
Rachel Annette Battiest, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 508 E Wilson St, Valliant, OK 74764 Phone: 580-933-9025 Fax: 580-933-9027 |