# FAMILY PRACTICE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Convenient Care Clinic, FAMILY HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568576619
- **Authorized official:** LAUREL CARRIE MCCULLOH (PRACTICE MANAGER)
- **Authorized official phone:** (580) 223-6003

## Contact information

- **Practice address:** 1306 12TH AVE NW, ARDMORE, OK 73401-1285
- **Practice address phone:** (580) 223-6003
- **Practice address fax:** (833) 314-0305
- **Mailing address:** 1306 12TH AVE NW, ARDMORE, OK 73401-1285
- **Mailing address phone:** (580) 223-6003
- **Mailing address fax:** (833) 314-0305

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 05/02/2023