Healthcare Provider Details

I. General information

NPI: 1447179551
Provider Name (Legal Business Name): BARBARA LOUANN COBAUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 INDUSTRIAL RD
CHECOTAH OK
74426
US

IV. Provider business mailing address

114003 S 3960 RD
HENRYETTA OK
74437-5117
US

V. Phone/Fax

Practice location:
  • Phone: 918-926-6100
  • Fax:
Mailing address:
  • Phone: 951-227-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: