Healthcare Provider Details

I. General information

NPI: 1013908441
Provider Name (Legal Business Name): ROWLAND FLATT CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 NE 2ND ST
ANTLERS OK
74523-2636
US

IV. Provider business mailing address

603 NE 2ND ST
ANTLERS OK
74523-2636
US

V. Phone/Fax

Practice location:
  • Phone: 580-298-3351
  • Fax: 580-298-6137
Mailing address:
  • Phone: 580-298-3351
  • Fax: 580-298-3803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TEDDY R. ROWLAND
Title or Position: OWNER/PARTNER
Credential: MD
Phone: 580-326-6423