Provider Demographics
NPI:1326664368
Name:STATON HOUSE
Entity Type:Organization
Organization Name:STATON HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STATON
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:405-426-7031
Mailing Address - Street 1:1100 E WHISPERING OAKS TER
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-4870
Mailing Address - Country:US
Mailing Address - Phone:405-426-7031
Mailing Address - Fax:888-646-6057
Practice Address - Street 1:1100 E WHISPERING OAKS TER
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-4870
Practice Address - Country:US
Practice Address - Phone:405-426-7031
Practice Address - Fax:888-646-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech