# FAITH FAMILY CLINIC PLLC

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

## Provider details

- **NPI number:** 1265194807
- **Authorized official:** DR. JAMI BENTON MD (PHYSICIAN/CEO)
- **Authorized official phone:** (580) 227-7448

## Contact information

- **Practice address:** 4125 W OWEN K GARRIOTT RD STE A-1, ENID, OK 73703-4820
- **Practice address phone:** (580) 616-3007
- **Practice address fax:** (580) 324-8008
- **Mailing address:** 4201 EVANDALE DR, ENID, OK 73703-7301
- **Mailing address phone:** (580) 227-7448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2021
- **Last updated:** 10/11/2021