# ADA FAMILY MEDICAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023063997
- **Authorized official:** DR. MARC JASON DAVIS D.O. (OWNER / PHYSICIAN)
- **Authorized official phone:** (580) 310-9510

## Contact information

- **Practice address:** 530 N MONTE VISTA ST, ADA, OK 74820-4612
- **Practice address phone:** (580) 310-9510
- **Practice address fax:** (580) 436-4447
- **Mailing address:** 530 N MONTE VISTA ST, ADA, OK 74820-4612
- **Mailing address phone:** (580) 310-9510
- **Mailing address fax:** (580) 436-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3540 | OK | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020