Organization
JVC MEDICAL, INC.
Active
Other names
JVC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VENGKATRAMAN COLLINS M.D. (PRESIDENT)
(214) 938-2961
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, OKLAHOMA CITY, OK 73110-4201
(405) 610-8055
Mailing address
200 NW 16TH ST, OKLAHOMA CITY, OK 73103-3409
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
26437
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211310A
—
OK
Enumeration date
06/25/2015
Last updated
06/25/2015
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