# JVC MEDICAL, INC.

> 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
- **Other names:** JVC Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609258615
- **Authorized official:** JENNIFER VENGKATRAMAN COLLINS M.D. (PRESIDENT)
- **Authorized official phone:** (214) 938-2961

## Contact information

- **Practice address:** 2825 PARKLAWN DR, OKLAHOMA CITY, OK 73110-4201
- **Practice address phone:** (405) 610-8055
- **Mailing address:** 200 NW 16TH ST, OKLAHOMA CITY, OK 73103-3409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 26437 | OK | Yes |

## Other

- **Enumeration date:** 06/25/2015
- **Last updated:** 06/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200211310A | — | OK |