Most Relevant Information
Provider Data
| NPI Number: | 1003199092 |
| Provider Name: | RANDAL COY FLINN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2011 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
801 E MAIN ST
TISHOMINGO
OK
734602351
Practice Location Phone/Fax
| Phone: | 5803992827 |
| Fax: |
Provider Mailing Location
801 E MAIN ST
TISHOMINGO
OK
734602351
Provider Mailing Phone/Fax
| Phone: | 5803992827 |
| Fax: |