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

Glenpool Family Clinic a Prof Corp

Organization Family Medicine Physician · NPI 1003949694

Glenpool Family Clinic a Prof Corp is a Family Medicine Physician in Glenpool, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14226 So Elm
Glenpool, OK 74033-3525
Phone: (918) 322-9510
Fax: (918) 322-9753
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2180 (OK)

Record details

NPI number1003949694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Martin — Owner And Operator · (918) 322-9510
NPI enumeratedMarch 13, 2007
Last updated in NPPESMay 27, 2009
Mailing address14226 So Elm, Glenpool, OK 74033-1029

Other providers in Glenpool