Healthcare Provider Details

I. General information

NPI: 1043159635
Provider Name (Legal Business Name): MARGARITA ATHENA LOVING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

717 N 49TH AVE
DURANT OK
74701-0539
US

IV. Provider business mailing address

717 N 49TH AVE
DURANT OK
74701-0539
US

V. Phone/Fax

Practice location:
  • Phone: 580-565-4481
  • Fax:
Mailing address:
  • Phone: 580-565-4481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: