Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN MAYTUBBY SR.
Active Sole ProprietorMARTIN MAYTUBBY SR. is a Substance Abuse Rehabilitation Facility healthcare provider located in ARDMORE, Oklahoma. NPI 1083923213 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ARDMORE, OK
Registration Details
- NPI Number
- 1083923213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2010 (15.890724633787 yrs)
- Last Updated
- Oct 14, 2011
- License
-
821 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 10TH AVE NWARDMORE, OK, 734015929Browse OK providers · Browse ZIP 73401
- Phone
- 5802261656
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| SHANNON LEA HALL | BA | 1053101899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.