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

Southern Oklahoma Internal Medicine P C

Organization Internal Medicine Physician · NPI 1205971694

Southern Oklahoma Internal Medicine P C is an Internal Medicine Physician in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

307 N Monte Vista St
Ada, OK 74820-4607
Phone: (580) 436-4495
Fax: (580) 436-4499
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17220 (OK)

Record details

NPI number1205971694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Tuley — President · (580) 436-4495
NPI enumeratedFebruary 21, 2007
Last updated in NPPESDecember 10, 2007
Mailing address307 N Monte Vista St, Ada, OK 74820-4607

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