| Prime Care Family Practice | |
|
533 S 30th St Suite A Clinton OK 73601-3600 | |
| (580) 323-4600 | |
| (580) 323-7722 |
| Full Name | Prime Care Family Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 533 S 30th St, Clinton, Oklahoma |
| Authorized Official Name and Position | Sharad S Swami (PRESIDENT) |
| Authorized Official Contact | 5803234600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Family Practice Po Box 973176 Dallas TX 75397-3176 Ph: (817) 466-3408 | Prime Care Family Practice 533 S 30th St Suite A Clinton OK 73601-3600 Ph: (580) 323-4600 |
| NPI Number | 1861573644 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861573644 | NPI | - | NPPES |
| 100248710B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18658 (Oklahoma) | Primary |
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