Jaiswal Clinic | |
702 Bryan Dr Suite 100 Durant OK 74701-7000 | |
(580) 924-4704 | |
(580) 924-6001 |
Full Name | Jaiswal Clinic |
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Speciality | Internal Medicine |
Location | 702 Bryan Dr, Durant, Oklahoma |
Authorized Official Name and Position | Tony Barber (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 2395983051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jaiswal Clinic Po Box 995 Durant OK 74702-0995 Ph: (580) 924-4704 | Jaiswal Clinic 702 Bryan Dr Suite 100 Durant OK 74701-7000 Ph: (580) 924-4704 |
NPI Number | 1083667075 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083667075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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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 |