| Southward Family Medicine | |
|
1111 Walnut Dr Ardmore OK 73401-2354 | |
| (580) 223-9008 | |
| (580) 223-9114 |
| Full Name | Southward Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1111 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Lauren Southward (OWNER) |
| Authorized Official Contact | 5802239008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southward Family Medicine 1111 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 223-9008 | Southward Family Medicine 1111 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 223-9008 |
| NPI Number | 1962510032 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962510032 | NPI | - | NPPES |
| 442785229-001 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21988 (Oklahoma) | Primary |
Mercy Health Services-southern Region, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3737 Fax: 580-226-5679 | |
Connie M Wilson Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1010 Fax: 580-226-1011 | |
Alexander P Gurrola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
Texoma Collaborative Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-798-5015 | |
Schafer Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Isabel St, Ardmore, OK 73401 Phone: 580-223-5432 Fax: 580-223-6076 | |
Premise Health Of Oklahoma Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Commerce St, Ardmore, OK 73401 Phone: 580-490-9414 Fax: 580-490-9067 | |
Dr R G Patzkowsky Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Isabel, Ardmore, OK 73401 Phone: 580-223-5432 |