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

Spectra Medical Home Mht LLC

Organization Physician Assistant · NPI 1700201498

Spectra Medical Home Mht LLC provides Physician Assistant services in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12500 NE 36th St
Choctaw, OK 73020-9111 Not confirmed with CMS for 12 years — call before visiting
Phone: (855) 860-2109
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA619 (OK)

Record details

NPI number1700201498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elmer Owens — Owner · (855) 860-2109
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address1515 Heritage Drive, Suite 110, McKinney, TX 75069-3379

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