THACKERVILLE MEDICAL CLINIC is a family nurse practitioner in Thackerville, OK. THACKERVILLE MEDICAL CLINIC NPI is 1518282185. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
11530 RIDGE RD STE 1 THACKERVILLE, OK ZIP 73459-771 Phone: (580) 276-9066 Fax: (580) 276-9063
The provider's authorized official is Dana Carol Sprott . The authorized official title is Nurse Practitioner/owner and has the following contact phone number (940) 366-0180.
The enumeration date for this NPI number is 4/7/2010 and was last updated on 4/12/2012.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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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