Choctaw Nation Of Oklahoma

Specialty details in registry · Idabel, OK

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At a glance

902 E Lincoln Rd, Idabel, OK 74745-7337

NPPES record updated Aug 8, 2025. Public records can lag behind changes at a practice.

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Practice location

902 E Lincoln Rd
Idabel, OK 74745-7337
Professional details: NPI, taxonomy & registry record
NPI1790833564
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332800000X
Enumeration date
Jan 8, 2007
Record updated
Aug 8, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Clinic / Center

261Q00000X

License reported: 255013 OK

Specialty details in registry

332800000X · Primary

License reported: 255013 OK

Specialty details in registry

3336C0003X

Specialty details in registry

3336S0011X

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

Practice location

902 E Lincoln Rd
Idabel, OK 74745-7337
Phone
(800) 349-7026
Fax
(918) 567-7180
Mailing address
ONE CHOCTAW WAY

TALIHINA, OK 74571
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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