Healthcare Provider Details

I. General information

NPI: 1780003475
Provider Name (Legal Business Name): TEXOMA MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N HOY STREET
BUFFALO OK
73834
US

IV. Provider business mailing address

PO BOX 236
TALOGA OK
73667-0236
US

V. Phone/Fax

Practice location:
  • Phone: 580-735-2277
  • Fax: 580-735-2279
Mailing address:
  • Phone: 580-328-5208
  • Fax: 580-328-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number11222
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY ALLEN DAILY
Title or Position: PRESIDENT
Credential:
Phone: 580-256-8500