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

Windsor Park Medical Clinic

Organization Physician Assistant · NPI 1104070259

Windsor Park Medical Clinic is a Physician Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008

Practice location Address checks out

2512 N Meridian Ave
Oklahoma City, OK 73107-1035
Phone: (405) 605-5415
Fax: (405) 605-5310
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1779 (OK)

Record details

NPI number1104070259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Fagan — Physician Assistant · (405) 605-5415
NPI enumeratedNovember 14, 2008
Last updated in NPPESNovember 14, 2008
Mailing address2512 N Meridian Ave, Oklahoma City, OK 73107-1035

Other providers in Oklahoma City