Graduated: 1986
NPI: 1932130150
Practice Locations (2)
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
21 N MAIN ST
KINGSTON, OK 734396562
5803870509
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
610 E 24TH ST
TISHOMINGO, OK 734603245
5803870509
Source: CMS National Downloadable File, September 2026.