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

Southern Oklahoma Urology, Inc

Organization Medical Specialty Clinic/Center · NPI 1528254109

Southern Oklahoma Urology, Inc is a Medical Specialty Clinic/Center in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

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

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Practice location Address checks out

1414 Arlington St Ste 2300
Ada, OK 74820-2643
Phone: (580) 332-0112
Fax: (580) 332-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X (OK)

Record details

NPI number1528254109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Diacon — President · (580) 332-0112
NPI enumeratedSeptember 18, 2007
Last updated in NPPESSeptember 18, 2007
Mailing address1414 Arlington St, Suite 2300, Ada, OK 74820-2643

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