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1610 W University Blvd Durant OK 74701-3096 | |
(580) 924-3400 | |
(580) 924-2000 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1610 W University Blvd, Durant, Oklahoma |
Authorized Official Name and Position | Paula Lalor (DIRECTOR) |
Authorized Official Contact | 6292153953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1610 W University Blvd Durant OK 74701-3096 Ph: (580) 924-3400 | 1610 W University Blvd Durant OK 74701-3096 Ph: (580) 924-3400 |
NPI Number | 1063910925 |
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Provider Enumeration Date | 01/25/2018 |
Last Update Date | 04/14/2021 |
Medicare PECOS PAC ID | 5193985653 |
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Medicare Enrollment ID | O20180308002189 |
Identifier | Type | State | Issuer |
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1063910925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 2282 (Oklahoma) | Primary |
My Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1004 N 19th Ave Bldg 2, Durant, OK 74701 Phone: 580-924-5622 Fax: 580-745-5060 | |
Jaiswal Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 |