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

Specialty Clinics of St Anne PLLC

Organization Family Medicine Physician · NPI 1356360473

Specialty Clinics of St Anne PLLC provides Family Medicine Physician services in Guymon, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 NE 12th St
Guymon, OK 73942-3624 Not confirmed with CMS for 11 years — call before visiting
Phone: (580) 338-8700
Fax: (580) 338-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19756 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26523 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 19772 (OK)

Record details

NPI number1356360473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Bautista — Md · (580) 338-8700
NPI enumeratedJuly 19, 2006
Last updated in NPPESFebruary 3, 2015
Mailing address350 Ne 12th St, Guymon, OK 73942-3624

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