Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cordell Memorial Hospital 0189

Organization Dermatology Physician · NPI 1134532344

Cordell Memorial Hospital 0189 provides Dermatology Physician services in Cordell, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1109 N Glenn L English St
Cordell, OK 73632-2007
Phone: (580) 832-3339
Fax: (580) 832-5076
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2221 (OK)
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1134532344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georganna Buss — Cfo · (580) 774-4762
Other names Cordell Memorial Hospital Clinic; Cordell Memorial Hospital Clinic
NPI enumeratedJune 5, 2014
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address1220 N Glenn L English St, Cordell, OK 73632-2010