# 4 R FAMILIES MEDICAL CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184135782
- **Authorized official:** MARGO RENEE SHORT MD (OWNER)
- **Authorized official phone:** (580) 297-5340

## Contact information

- **Practice address:** 721 W BROADWAY AVE STE C, ENID, OK 73701-3800
- **Practice address phone:** (580) 297-5340
- **Mailing address:** 721 W BROADWAY AVE STE C, ENID, OK 73701-3800
- **Mailing address phone:** (580) 297-5340
- **Mailing address fax:** (580) 297-5344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23498 | OK | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 09/04/2024