Healthcare Provider Details

I. General information

NPI: 1235071671
Provider Name (Legal Business Name): NATHAN HEATH HOBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105365 S HIGHWAY 102
MCLOUD OK
74851-3051
US

IV. Provider business mailing address

105365 S HIGHWAY 102
MCLOUD OK
74851-3051
US

V. Phone/Fax

Practice location:
  • Phone: 405-964-2081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14639
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: