| James Family Medical Pllc | |
|
5606 Sw Lee Blvd Ste 303 Lawton OK 73505-9618 | |
| (580) 531-6455 | |
| Not Available |
| Full Name | James Family Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5606 Sw Lee Blvd Ste 303, Lawton, Oklahoma |
| Authorized Official Name and Position | Jennifer James (PHYSICIAN OWNER) |
| Authorized Official Contact | 8882124243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Family Medical Pllc Po Box 82 Shannon AL 35142-0082 Ph: (888) 212-4243 | James Family Medical Pllc 5606 Sw Lee Blvd Ste 303 Lawton OK 73505-9618 Ph: (580) 531-6455 |
| NPI Number | 1093578684 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 4880030691 |
|---|---|
| Medicare Enrollment ID | O20240314001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093578684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Iris James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801156609 PECOS PAC ID: 1759602030 Enrollment ID: I20150611002889 |
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