# DURANT FAMILY MEDICINE CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DURANT FAMILY MEDICINE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275596421
- **Authorized official:** MS. BARBARA THOMASON (ADMINISTRATOR)
- **Authorized official phone:** (580) 924-5500

## Contact information

- **Practice address:** 1400 BRYAN DR STE 201, DURANT, OK 74701-2157
- **Practice address phone:** (580) 924-5500
- **Practice address fax:** (580) 924-1991
- **Mailing address:** 1400 BRYAN DR STE 201, DURANT, OK 74701-2157
- **Mailing address phone:** (580) 924-5500
- **Mailing address fax:** (580) 924-1991

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 05/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100748440C | — | OK |
| 05 | — | 100757080W | — | OK |