Larry Goss M.D.

LBN: Walters Family Clinic
Larry Goss M.D. is an health care organization with primary practice located at 102 N Broadway St , Walters OK 73572-1258. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Walters Family Clinic can be contacted via phone (580) 875-3320, or through Vaughn, Gloria E via phone (580) 875-3320.

Contact Information

Primary practice address
102 N Broadway St Walters OK 73572-1258
Phone: (580) 875-3320
Fax: (580) 875-3131
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Gloria E
Phone: (580) 875-3320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 10340 Oklahoma

Profile Details

NPI number 1346428521
LBN Legal business name Walters Family Clinic
DBA Doing business as Larry Goss M.D.
Authorized official Vaughn, Gloria E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2008
Last updated Jun 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346428521 NPPES
Oklahoma MEDICAID 200134580A
Oklahoma Other 37D1084232

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