Healthcare Provider Details

I. General information

NPI: 1497292429
Provider Name (Legal Business Name): R&R MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2017
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N POCOLA BLVD
POCOLA OK
74902-3152
US

IV. Provider business mailing address

706 N POCOLA BLVD
POCOLA OK
74902-3152
US

V. Phone/Fax

Practice location:
  • Phone: 539-245-2003
  • Fax: 539-245-2047
Mailing address:
  • Phone: 539-245-2003
  • Fax: 539-245-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number207QA0505X
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number2080P0214X
License Number StateOK

VIII. Authorized Official

Name: COLBY MARTIN
Title or Position: PRESIDENT
Credential:
Phone: 918-839-7825