OrganizationActive
Palliative Care Procedures
NPI 1508443300 · Hospice and Palliative Medicine (Internal Medicine) Physician · Moore, OK
Provider details
- NPI number
- 1508443300
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Audrianna Sparks, Owner/Provider(405) 659-5525
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1604 Sw 38th St
Moore, OK 73160-2953
Phone: (405) 659-5525
Fax: (800) 396-6706
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Sw 38th St
Moore, OK 73160-2953
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.