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Organization
FAMILY PRACTICE ASSOCIATES
Active
Organization
FAMILY PRACTICE ASSOCIATES
Active
Other names
Family Health Convenient Care Clinic, FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL CARRIE MCCULLOH (PRACTICE MANAGER)
(580) 223-6003
Entity
Organization
Contact information
Practice address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 223-6003
(833) 314-0305
Mailing address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 223-6003
(833) 314-0305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
05/02/2023
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