Graduated: 2015
Offers telehealth
NPI: 1881102010
Practice Locations (2)
FOREFRONT-RUSH MEDICAL SERVICE PA
15205 TRADITIONS LAKE PKWY
EDMOND, OK 730131198
9724490540
STATE OF OKLAHOMA
602 SW, 38TH JIM TALIAFERRO CMHC
LAWTON, OK 735056912
5802485780
Source: CMS National Downloadable File, September 2026.