| NPI | 1346266731 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CEO 580-585-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 17722) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-01-10 |