Healthcare Provider Details

I. General information

NPI: 1013527787
Provider Name (Legal Business Name): SOONER MARIE VANHOOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S MCKENNA ST
POTEAU OK
74953-4322
US

IV. Provider business mailing address

27178 360TH ST
WISTER OK
74966-2645
US

V. Phone/Fax

Practice location:
  • Phone: 918-647-2372
  • Fax: 918-647-7028
Mailing address:
  • Phone: 918-839-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9223
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: