Graduated: 2021
NPI: 1336891381
Practice Locations (2)
MANGUM CITY HOSPITAL AUTHORITY
118 S LOUIS TITTLE AVE
MANGUM, OK 735544441
5807823353
MANGUM CITY HOSPITAL AUTHORITY
118 S LOUIS TITTLE AVE, MANGUM CLINIC
MANGUM, OK 735544441
5807823353
Source: CMS National Downloadable File, September 2026.