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

Spectra Medical Home Mht LLC

Organization Physician Assistant · NPI 1700201498

Spectra Medical Home Mht LLC is a Physician Assistant in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12500 NE 36th St
Choctaw, OK 73020-9111
Phone: (855) 860-2109
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA619 (OK)

Record details

NPI number1700201498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elmer Owens — Owner · (855) 860-2109
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address1515 Heritage Drive, Suite 110, McKinney, TX 75069-3379

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