MEDICARE: TEXOMA PEDIATRICS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	4154	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	I36843	OTHER	OK	NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518307529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXOMA PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	DURANT
State	:	OK
Zip	:	74702-0128
Country	:	US
Telephone Number	:	580-920-1980
Fax Number	:	580-920-9937

Provider Business Practice Location Address
First Line	:	430 BRYAN DR
Second Line	:
City	:	DURANT
State	:	OK
Zip	:	74701-3467
Country	:	US
Telephone Number	:	580-920-1980
Fax Number	:	580-920-9937

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL SIMULESCU
Credential	:	D.O.
Telephone Number	:	580-920-1980

Provider Enumeration Date	:	07/05/2013
Last Update Date	:	06/08/2026

Similar Medicare Providers

1417154352 — MICHAEL JOHN STEVE SIMULESCU D.O.
Practice Location Address:

430 BRYAN DR
DURANT, OK
74701-3467

Practice Phone: 580-920-1980
Practice Fax: 580-920-9937

1659372738 — DR. JAMIE AKIN D.O.
Practice Location Address:

430 BRYAN DR
DURANT, OK
74701-3467

Practice Phone: 580-920-1980
Practice Fax: 580-920-9937

1558990028 — DANIEL YOUNG KIM DO
Practice Location Address:

430 BRYAN DR
DURANT, OK
74701-3467

Practice Phone: 580-920-1980
Practice Fax: 580-920-9937

1447184395 — BRADY TURNER
Practice Location Address:

1600 N WASHINGTON AVE
DURANT, OK
74701-2128

Practice Phone: 590-706-6936
Practice Fax:

1225965981 — IRONGATE BEHAVIORAL HEALTH LLC
Practice Location Address:

698 WESTSIDE DR
DURANT, OK
74701-3084

Practice Phone: 206-492-0723
Practice Fax:

1780518712 — MADILYN TUBBS
Practice Location Address:

1600 W UNIVERSITY BLVD
DURANT, OK
74701-3045

Practice Phone: 580-740-0205
Practice Fax: 580-634-2848

Directions to “TEXOMA PEDIATRICS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.