| 4 R Families Medical Clinic Pllc | |
|
330 S 5th St Ste 202 Enid OK 73701-5861 | |
| (580) 297-5340 | |
| Not Available |
| Full Name | 4 R Families Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 330 S 5th St Ste 202, Enid, Oklahoma |
| Authorized Official Name and Position | Margo Renee Short (OWNER) |
| Authorized Official Contact | 5802975340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 R Families Medical Clinic Pllc 330 S 5th St Ste 202 Enid OK 73701-5861 Ph: (580) 297-5340 | 4 R Families Medical Clinic Pllc 330 S 5th St Ste 202 Enid OK 73701-5861 Ph: (580) 297-5340 |
| NPI Number | 1184135782 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 2961760111 |
|---|---|
| Medicare Enrollment ID | O20171218002156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184135782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23498 (Oklahoma) | Primary |
| Provider Name | Margo Renee Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164478590 PECOS PAC ID: 7911910815 Enrollment ID: I20061005000658 |
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