Most Relevant Information
Provider Data
| NPI Number: | 1003401878 |
| Provider Name: | STEPHEN THOMAS HARGROVE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2021 |
| Last Updated: | 03/04/2021 |
Provider Practice Location
804 W CHOCTAW AVE
CHICKASHA
OK
730182310
Practice Location Phone/Fax
| Phone: | 4054247711 |
| Fax: | 4052249532 |
Provider Mailing Location
4400 N LINCOLN BLVD
OKLAHOMA CITY
OK
731055108
Provider Mailing Phone/Fax
| Phone: | 4054247711 |
| Fax: |