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

Triad Complete Healthcare A12 LLC

Organization Family Medicine Physician · NPI 1891506960

Triad Complete Healthcare A12 LLC is a Family Medicine Physician in Ardmore, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

908 N Rockford Rd Ste A
Ardmore, OK 73401-2541
Phone: (580) 251-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1891506960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Bintz — Ceo · (970) 270-7929
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address2703 N 14th St, Ponca City, OK 74601-1738

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