| Family Medicine Specialists, P.c. | |
|
3700 N Kickapoo Ave Suite 124 Shawnee OK 74804-1707 | |
| (405) 273-6383 | |
| (405) 214-1075 |
| Full Name | Family Medicine Specialists, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 N Kickapoo Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Tracy Michelle Ferrell (OFFICE MANAGER) |
| Authorized Official Contact | 4052736383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Specialists, P.c. 3700 N Kickapoo Ave Suite 124 Shawnee OK 74804-1707 Ph: (405) 273-6383 | Family Medicine Specialists, P.c. 3700 N Kickapoo Ave Suite 124 Shawnee OK 74804-1707 Ph: (405) 273-6383 |
| NPI Number | 1407966575 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407966575 | NPI | - | NPPES |
| 100745230C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
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