| Ultimate Direct Primary Care PLLC | |
|
1111 Walnut Dr Ardmore OK 73401-2354 | |
| (580) 223-9008 | |
| Not Available |
| Full Name | Ultimate Direct Primary Care PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1111 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Lauren Southward (OWNER) |
| Authorized Official Contact | 5804652283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Direct Primary Care PLLC 1111 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 223-9008 | Ultimate Direct Primary Care PLLC 1111 Walnut Dr Ardmore OK 73401-2354 Ph: (580) 223-9008 |
| NPI Number | 1891518304 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891518304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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