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

Glenpool Family Clinic a Prof Corp

Organization Family Medicine Physician · NPI 1003949694

Glenpool Family Clinic a Prof Corp provides Family Medicine Physician services in Glenpool, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14226 So Elm
Glenpool, OK 74033-3525 Not confirmed with CMS for 17 years — call before visiting
Phone: (918) 322-9510
Fax: (918) 322-9753
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2180 (OK)

Record details

NPI number1003949694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Martin — Owner And Operator · (918) 322-9510
NPI enumeratedMarch 13, 2007
Last updated in NPPESMay 27, 2009
Mailing address14226 So Elm, Glenpool, OK 74033-1029

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