Providence Service Corporation Of Oklahoma

Specialty details in registry · Durant, OK

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At a glance

134 N 12Th Ave, Durant, OK 74701-4718

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

134 N 12Th Ave
Durant, OK 74701-4718
Professional details: NPI, taxonomy & registry record
NPI1003958091
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Feb 13, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

134 N 12Th Ave
Durant, OK 74701-4718
Phone
(580) 924-6363
Fax
(580) 924-0379
Mailing address
620 N CRAYCROFT RD

TUCSON, AZ 857111448
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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