RESTORE FAMILY MEDICAL CLINIC II NPI 1194405308

NPI Information

  • NPI: 1194405308
  • Provider Name: RESTORE FAMILY MEDICAL CLINIC II
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 111 N 3RD ST
    HUGO, OK
    ZIP 74743
  • Phone: (580) 372-2819

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NPI Details

RESTORE FAMILY MEDICAL CLINIC II is a family nurse practitioner in Hugo, OK. RESTORE FAMILY MEDICAL CLINIC II NPI is 1194405308. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

111 N 3RD ST
HUGO, OK
ZIP 74743-001
Phone: (580) 372-2819

The provider's authorized official is Kendall M Phillips .
The authorized official title is Owner/operator and has the following contact phone number (580) 982-6044.

The enumeration date for this NPI number is 7/21/2023 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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