Healthcare Provider Details

I. General information

NPI: 1255257416
Provider Name (Legal Business Name): OK-ARK HEALTH CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E RAY FINE BLVD STE 9
ROLAND OK
74954-5380
US

IV. Provider business mailing address

2600 S 22ND ST
FORT SMITH AR
72901-6512
US

V. Phone/Fax

Practice location:
  • Phone: 479-522-2201
  • Fax:
Mailing address:
  • Phone: 479-522-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BERNARD MICHAEL TOUGAS JR.
Title or Position: PROVIDER
Credential: PA-C
Phone: 479-522-2201