Provider Demographics
NPI:1528273869
Name:MCMURRY CLINIC PARTNERSHIP II
Entity type:Organization
Organization Name:MCMURRY CLINIC PARTNERSHIP II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-338-3361
Mailing Address - Street 1:123 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942-3606
Mailing Address - Country:US
Mailing Address - Phone:580-338-3361
Mailing Address - Fax:580-338-1021
Practice Address - Street 1:123 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:GUYMON
Practice Address - State:OK
Practice Address - Zip Code:73942-3606
Practice Address - Country:US
Practice Address - Phone:580-338-3361
Practice Address - Fax:580-338-1021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty