Blackhawk Mangum LLC

NPI #1710378294 in Sayre, Oklahoma

Provider Information

NPI Number
1710378294
Entity Type
Organization
Organization Name
Blackhawk Mangum LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Feb 5, 2015
Last Updated
Feb 5, 2015

Practice Location

Address
1601 WATTS ST
City
Sayre
ZIP Code
73662-1314
Phone
(580) 928-9933

Authorized Official

Name
KEVIN OWENS
Title
OWNER
Phone
(512) 659-4467

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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