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WEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC
NPI 1528204567
Family Medicine in Weatherford, OK

Active since December 22, 2008
3739 LEGACY, WEATHERFORD, OK 73096(580) 772-2400(580) 772-2408 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Weatherford Family Practice Medical Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC (NPI 1528204567) is a healthcare organization registered as a family medicine in Weatherford, Oklahoma and active in the NPI registry since December 2008. The organization lists Tamala Rochelle Mallett Moore, Owner/medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1528204567
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC
Location Address3739 LEGACYWeatherford, OK 73096-9746
Mailing Address3739 LegacyWeatherford, OK 73096-9746 · (580) 772-2400 · Fax (580) 772-2408
Phone(580) 772-2400
Fax(580) 772-2408
Organization SubpartNo
Authorized OfficialTamala Rochelle Mallett MooreOwner/medical Doctor · (580) 772-2400
Enumeration DateDecember 22, 2008
Last NPPES UpdateJanuary 24, 2011
✔ NPI 1528204567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 26755
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3739 LEGACY, Weatherford, OK 73096
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Other Identifiers 6

OtherOKB5382OK · Medicare Ptan
Medicaid200224110AOK
Medicare UPINH42755OK
Other37994OK · Bndd
Other26755OK · Oklahoma State Medical License
OtherP00691960OK · Rail Road Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEATHERFORD HOSPITAL AUTHORITY
Obstetrics & Gynecology
3739 LEGACY
WEATHERFORD, OK 73096
Custer County (580) 774-4770
MICHAEL CLARKE HENSLEY M.D.
Obstetrics & Gynecology
3739 LEGACY
WEATHERFORD, OK 73096
Custer County (580) 774-4791
WEATHERFORD HOSPITAL AUTHORITY
Otolaryngology
3739 LEGACY
WEATHERFORD, OK 73096
Custer County (580) 772-2268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Weatherford Family Practice Medical Center PLLC's NPI number?

The NPI number for Weatherford Family Practice Medical Center PLLC is 1528204567. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is Weatherford Family Practice Medical Center PLLC located?

Weatherford Family Practice Medical Center PLLC is located at 3739 Legacy, Weatherford, OK 73096. The listed phone number is (580) 772-2400.

What is Weatherford Family Practice Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Weatherford Family Practice Medical Center PLLC was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.