Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Texoma Collaborative Family Medicine LLC

Organization Family Medicine Physician · NPI 1083474522

Texoma Collaborative Family Medicine LLC provides Family Medicine Physician services in Ardmore, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 15th Ave NW
Ardmore, OK 73401-1810
Phone: (580) 798-5015
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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

Record details

NPI number1083474522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessy Bracklein — Owner · (580) 798-5015
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address1005 15th Ave Nw, Ardmore, OK 73401-1810

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