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

Southern Oklahoma Internal Medicine P C

Organization Internal Medicine Physician · NPI 1205971694

Southern Oklahoma Internal Medicine P C provides Internal Medicine Physician services in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

307 N Monte Vista St
Ada, OK 74820-4607 Not confirmed with CMS for 18 years — call before visiting
Phone: (580) 436-4495
Fax: (580) 436-4499
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17220 (OK)

Record details

NPI number1205971694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Tuley — President · (580) 436-4495
NPI enumeratedFebruary 21, 2007
Last updated in NPPESDecember 10, 2007
Mailing address307 N Monte Vista St, Ada, OK 74820-4607

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