Healthcare Provider Details

I. General information

NPI: 1184933467
Provider Name (Legal Business Name): STEVE WATKINS DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ROCKFORD RD STE G
ARDMORE OK
73401-2541
US

IV. Provider business mailing address

PO BOX 269044
OKLAHOMA CITY OK
73126-9044
US

V. Phone/Fax

Practice location:
  • Phone: 580-490-9411
  • Fax: 580-490-9415
Mailing address:
  • Phone: 580-490-9411
  • Fax: 580-490-9415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4120
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4120
License Number StateOK

VIII. Authorized Official

Name: STEVEN K WATKINS
Title or Position: PHYSICIAN
Credential: DO
Phone: 580-490-9411