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

Windsor Park Medical Clinic

Organization Physician Assistant · NPI 1104070259

Windsor Park Medical Clinic provides Physician Assistant services in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008

Practice location Address checks out

2512 N Meridian Ave
Oklahoma City, OK 73107-1035 Not confirmed with CMS for 17 years — call before visiting
Phone: (405) 605-5415
Fax: (405) 605-5310
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1779 (OK)

Record details

NPI number1104070259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Fagan — Physician Assistant · (405) 605-5415
NPI enumeratedNovember 14, 2008
Last updated in NPPESNovember 14, 2008
Mailing address2512 N Meridian Ave, Oklahoma City, OK 73107-1035

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