Southern Oklahoma Renal Services, LLC

NPI #1891083929 in Ardmore, Oklahoma

Provider Information

NPI Number
1891083929
Entity Type
Organization
Organization Name
Southern Oklahoma Renal Services, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 11, 2011
Last Updated
Jul 11, 2011

Practice Location

Address
1107 WALNUT DR
ZIP Code
73401-2354
Phone
(580) 223-8614

Authorized Official

Name
DR. ABDUL N KHAN, MD
Title
OWNER
Phone
(580) 223-8614

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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