Organization
RELIANT DIRECT PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN K BUSHMAN DO (PRESIDENT/OWNER)
(580) 599-0272
Entity
Organization
Contact information
Practice address
822 W RANDOLPH AVE, ENID, OK 73701-3834
(580) 599-0272
(580) 603-8602
Mailing address
822 W RANDOLPH AVE, ENID, OK 73701-3834
(580) 599-0272
(580) 603-8602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/04/2026
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