Gks Calera Clinic LLC

NPI #1558934737 in Calera, Oklahoma

Provider Information

NPI Number: 1558934737
Entity Type: Organization
Organization Name: Gks Calera Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 23, 2021
Last Updated: Jul 23, 2021

Practice Location

Address: 213 E MAIN ST STE 200
City: Calera
State: Oklahoma
ZIP Code: 74730-2116
Phone: (580) 434-6800

Authorized Official

Name: STEPHEN KHOURY, DO
Title: OWNER
Phone: (580) 775-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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