Organization
COMMUNITY FAMILY MEDICAL CLINIC, LLC.
Active
Parent organization
COMMUNITY FAMILY MEDICAL CLINIC LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY FAMILY MEDICAL CLINIC LLC.
Authorized official
MR. TY G MATLOCK (OWNER)
(479) 561-8811
Entity
Organization
Contact information
Practice address
1202 FORT STREET, BARLING, AR 72923
(918) 427-7581
(918) 427-7798
Mailing address
P.O BOX 988, ROLAND, OK 74954
(918) 427-7581
(918) 427-7798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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