| Osu-aj Jaiswal Clinic | |
|
702 Bryan Dr Suite 100 Durant OK 74701-7030 | |
| (580) 924-4704 | |
| (580) 924-6001 |
| Full Name | Osu-aj Jaiswal Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 702 Bryan Dr, Durant, Oklahoma |
| Authorized Official Name and Position | Eric Polak (CFO OSU PHYSICIANS) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu-aj Jaiswal Clinic 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj Jaiswal Clinic 702 Bryan Dr Suite 100 Durant OK 74701-7030 Ph: (580) 924-4704 |
| NPI Number | 1376886481 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376886481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Jaiswal Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 | |
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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 |