| Texoma Collaborative Family Medicine Llc | |
|
1005 15th Ave Nw Ardmore OK 73401-1810 | |
| (580) 798-5015 | |
| Not Available |
| Full Name | Texoma Collaborative Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1005 15th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Jessy Bracklein (OWNER) |
| Authorized Official Contact | 5807985015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texoma Collaborative Family Medicine Llc 1005 15th Ave Nw Ardmore OK 73401-1810 Ph: (580) 798-5015 | Texoma Collaborative Family Medicine Llc 1005 15th Ave Nw Ardmore OK 73401-1810 Ph: (580) 798-5015 |
| NPI Number | 1083474522 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083474522 | NPI | - | NPPES |
| 200294340A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mercy Health Services-southern Region, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3737 Fax: 580-226-5679 | |
Wilson Loughridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1010 Fax: 580-226-1011 | |
Alexander P Gurrola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
Schafer Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Isabel St, Ardmore, OK 73401 Phone: 580-223-5432 Fax: 580-223-6076 | |
Dot Ardmore Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Commerce St, Ardmore, OK 73401 Phone: 580-490-9414 Fax: 580-490-9067 | |
Doctors Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Isabel, Ardmore, OK 73401 Phone: 580-223-5432 |