| R&r Medical Services Llc | |
|
105 Wall St Poteau OK 74953-4433 | |
| (918) 635-3193 | |
| (918) 635-3187 |
| Full Name | R&r Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Wall St, Poteau, Oklahoma |
| Authorized Official Name and Position | Marilyn Rankin (OFFICE MANAGER) |
| Authorized Official Contact | 9186476297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R&r Medical Services Llc 3802 Sturgeon Rd Greenwood AR 72936-7236 Ph: (479) 996-4997 | R&r Medical Services Llc 105 Wall St Poteau OK 74953-4433 Ph: (918) 635-3193 |
| NPI Number | 1497292429 |
|---|---|
| Provider Enumeration Date | 01/29/2017 |
| Last Update Date | 08/15/2017 |
| Medicare PECOS PAC ID | 9436421096 |
|---|---|
| Medicare Enrollment ID | O20170817001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497292429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 207QA0505X (* (Not Available)) | Primary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 2080P0214X (Oklahoma) | Secondary |
| Provider Name | Jonathan S Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184682866 PECOS PAC ID: 6406757087 Enrollment ID: I20040119000702 |
| Provider Name | Faisal H Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598791303 PECOS PAC ID: 5294755088 Enrollment ID: I20051212000290 |
| Provider Name | Louay K Nassri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881681799 PECOS PAC ID: 9537129622 Enrollment ID: I20171011003484 |
Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Wall St, Poteau, OK 74953 Phone: 918-647-8635 Fax: 918-635-3191 | |
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