| |
1801 Chukka Hina Durant OK 74701-3085 | |
(580) 920-2100 | |
(580) 924-7215 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1801 Chukka Hina, Durant, Oklahoma |
Authorized Official Name and Position | Teresa Kay Jackson (CEO) |
Authorized Official Contact | 9185677000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1801 Chukka Hina Durant OK 74701-3085 Ph: (580) 920-2100 | 1801 Chukka Hina Durant OK 74701-3085 Ph: (580) 920-2100 |
NPI Number | 1396173449 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 12/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396173449 | NPI | - | NPPES |
100244980T | Medicaid | OK | |
370172 | Other | OK | MEDICARE |
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 |