SOVEREIGN FAMILY CLINIC, LLC is a clinic center in Ada, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOVEREIGN FAMILY CLINIC, LLC NPI is 1538450689. The provider is registered as an organization entity type.
The provider Is Doing Business As Sovereign Family Practice Clinic.
The provider's business location address is:
1007 N COUNTRY CLUB RD
ADA, OK
ZIP 74820-847
Phone: (580) 421-8700
Fax: (580) 421-8785
The provider's authorized official is Chris M Anoatubby .
The authorized official title is President, Sovereign and has the following contact phone number (580) 272-5160.
The CLIA number assigned to this NPI record is 37D2024679 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/25/2011 and was last updated on 6/18/2015.