Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cordell Memorial Hospital 0189

Organization Dermatology Physician · NPI 1134532344

Cordell Memorial Hospital 0189 is a Dermatology Physician in Cordell, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1109 N Glenn L English St
Cordell, OK 73632-2007
Phone: (580) 832-3339
Fax: (580) 832-5076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2221 (OK)
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1134532344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georganna Buss — Cfo · (580) 774-4762
Other names Cordell Memorial Hospital Clinic; Cordell Memorial Hospital Clinic
NPI enumeratedJune 5, 2014
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address1220 N Glenn L English St, Cordell, OK 73632-2010