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 |
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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 |
Robert V Blakeburn Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2718 | |
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