Pack Family Clinic, PLLC
Pack Family Clinic, PLLC provides Family Medicine Physician services in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.
- Licensed in
- OK
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1509 Augusta DrAda, OK 74820-8576
Phone: (918) 728-4942
Fax: (918) 770-8456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5857 (OK) |
|---|
Record details
| NPI number | 1124531736 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Valerie Pack — Family Physician · (918) 728-4942 |
| Other names | Family Physician |
| NPI enumerated | November 6, 2017 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
| Mailing address | 1509 Augusta Dr, Ada, OK 74820-8576 |
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