| Pack Family Clinic, Pllc | |
|
1509 Augusta Dr Ada OK 74820-8576 | |
| (918) 728-4942 | |
| (918) 770-8456 |
| Full Name | Pack Family Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1509 Augusta Dr, Ada, Oklahoma |
| Authorized Official Name and Position | Valerie M Pack (FAMILY PHYSICIAN) |
| Authorized Official Contact | 9187284942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pack Family Clinic, Pllc 1509 Augusta Dr Ada OK 74820-8576 Ph: (918) 728-4942 | Pack Family Clinic, Pllc 1509 Augusta Dr Ada OK 74820-8576 Ph: (918) 728-4942 |
| NPI Number | 1124531736 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124531736 | NPI | - | NPPES |
| 200654670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5857 (Oklahoma) | Primary |
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