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Contact Information

MEGAN E BLACK, APRN, C-NP
110 W 1ST ST
BROKEN BOW, OK74728
 Phone: 580-584-3099
 Fax: 580-584-3097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MEGAN E BLACK · (Female)

NPI # 1568820140
Status Active
Credentials APRN, C-NP
Entity Individual
Enumeration date 02/10/2016
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 100330
  • OK Medicaid 200636630A
Hospital affiliation(s)
  • CHRISTUS ST MICHAEL HEALTH SYSTEM - (Acute Care)
    2600 ST MICHAEL DR
    TEXARKANA, TX 75504
  • PARIS REGIONAL MEDICAL CENTER - (Acute Care)
    820 CLARKSVILLE ST
    PARIS, TX 75460
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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