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COVENANT WOMEN'S CARE LLC NPI 1619424603


NPI Information

NPI: 1619424603
Provider Name: COVENANT WOMEN'S CARE LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1505 N COMMERCE ST
SUITE 204
ARDMORE, OK
ZIP 73401
Phone: (580) 226-3003
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COVENANT WOMEN'S CARE LLC is an obstetrics gynecology in Ardmore, OK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. COVENANT WOMEN'S CARE LLC NPI is 1619424603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 N COMMERCE ST
SUITE 204
ARDMORE, OK
ZIP 73401-863
Phone: (580) 226-3003
Fax: (580) 798-3124

The provider's authorized official is Valerie Marie Malone .
The authorized official title is Sopa Office Manager and has the following contact phone number (580) 226-1010.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyOKLAHOMAYes

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: 11/14/2023

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