Provider Demographics
NPI:1780334433
Name:AUGHE-FLORES, FRANK JONATHAN (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JONATHAN
Last Name:AUGHE-FLORES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27411 E 109TH ST S
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-3442
Mailing Address - Country:US
Mailing Address - Phone:208-305-2512
Mailing Address - Fax:
Practice Address - Street 1:1145 S UTICA AVE STE 600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4070
Practice Address - Country:US
Practice Address - Phone:918-579-2367
Practice Address - Fax:918-579-2369
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK390200000X
KY05982207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program