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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PACK FAMILY CLINIC, PLLC

Active Organization

PACK FAMILY CLINIC, PLLC is a Family Medicine organization located in ADA, Oklahoma. NPI 1124531736 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ADA, OK

Registration Details

NPI Number
1124531736
Provider Type
Organization
NPI Issued
Nov 6, 2017 (8.7766574847305 yrs)
Last Updated
Aug 23, 2021
License
5857 (OK)

Practice Information

Address
1509 AUGUSTA DR
ADA, OK, 748208576
Browse OK providers · Browse ZIP 74820
Phone
9187284942
Fax
9187708456
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.