Healthcare Provider Details

I. General information

NPI: 1831400506
Provider Name (Legal Business Name): MONICA MAE MCLAREN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA MAE WOODALL D.O.

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 WESTSIDE DR STE 110
DURANT OK
74701-3085
US

IV. Provider business mailing address

5012 S US HWY 75, SUITE 300 ATTN BILLING
DENISON TX
75020-4589
US

V. Phone/Fax

Practice location:
  • Phone: 580-920-1922
  • Fax: 580-920-1923
Mailing address:
  • Phone: 580-920-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4972
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: