| Family Care 323, Pllc | |
|
1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 | |
| (405) 272-4978 | |
| (405) 772-4430 |
| Full Name | Family Care 323, Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 1111 N Lee Ave Ste 305, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Matthew Jefferson Jared (PRESIDENT) |
| Authorized Official Contact | 4052261881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care 323, Pllc 1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 Ph: (405) 272-4978 | Family Care 323, Pllc 1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 Ph: (405) 272-4978 |
| NPI Number | 1861806986 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 8123341666 |
|---|---|
| Medicare Enrollment ID | O20220608003172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861806986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Matthew J Jared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205060183 PECOS PAC ID: 2264609916 Enrollment ID: I20120119000914 |
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