| NPI | 1245254705 |
|---|---|
| Doing Business As | LCHC FAMILY HEALTH CLINIC |
| Doing Business As | MEMORIAL MEDICAL GROUP FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JULIE KILGORE Credentialing 580-585-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 11906) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-12-14 |