Hometown Primary Care, Pllc

NPI #1942945910 in Choctaw, Oklahoma

Provider Information

NPI Number: 1942945910
Entity Type: Organization
Organization Name: Hometown Primary Care, Pllc
Primary Specialty: Clinic/Center
Enumeration Date: May 3, 2022
Last Updated: May 3, 2022

Practice Location

Address: 13511 NE 23RD ST STE 140
City: Choctaw
State: Oklahoma
ZIP Code: 73020-8625
Phone: (405) 591-3584

Authorized Official

Name: CANDACE D HERRIN, APRN-CNP
Title: MEMBER/NURSE PRACTITIONER
Phone: (405) 591-3584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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