Healthcare Provider Details

I. General information

NPI: 1306210133
Provider Name (Legal Business Name): TODAY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 NW CACHE RD
LAWTON OK
73505-3634
US

IV. Provider business mailing address

701 NE 36TH ST
OKLAHOMA CITY OK
73105-7203
US

V. Phone/Fax

Practice location:
  • Phone: 405-379-0200
  • Fax: 405-631-0811
Mailing address:
  • Phone: 405-631-0611
  • Fax: 405-631-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRETT CAUTHEN
Title or Position: MEMBER
Credential:
Phone: 405-631-0611